Samantha Jo Smith, PA-C

NPI #1992270557 in Boise, Idaho

Provider Information

NPI Number: 1992270557
Entity Type: Individual
Name: Samantha Jo Smith, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 10, 2018
Last Updated: Feb 17, 2020

Practice Location

Address: 1000 E PARK BLVD
City: Boise
State: Idaho
ZIP Code: 83712-7791
Phone: (208) 871-0644

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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