Individual provider · Type 1 NPI
Delmar Wallace Smith, P.A.
Medical Physician Assistant · Mountain Home, ID
NPI number
1336110980
Active
Practice location
2000 American Legion Blvd
Mountain Home, ID 83647-3138
Fax (208) 587-3180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-265 (ID) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
Other medical physician assistant providers in Mountain Home
About NPI 1336110980
Delmar Wallace Smith, P.A.'s National Provider Identifier is 1336110980, issued on Jan 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mountain Home, ID. The record was last updated on Feb 25, 2008.