Mr. DELMAR WALLACE SMITH -- P.A.
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1336110980- Provider Type
- Individual Provider (NPI-1)
- Credentials
- P.A.
- Status
- Active
Contact & Location
- Address
- 2000 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID, 836473138
- Phone
- (208) 587-1500
- Fax
- (208) 587-3180
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: ID #PA-265