Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DELMAR WALLACE SMITH, P.A.
ActiveMedical Physician Assistant · MOUNTAIN HOME, ID
Registration Details
- NPI Number
- 1336110980
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2006 (20.22209781889 yrs)
- Last Updated
- Feb 25, 2008
- License
-
PA-265 (ID)
Practice Information
- Address
-
2000 AMERICAN LEGION BLVDMOUNTAIN HOME, ID, 836473138Browse ID providers · Browse ZIP 83647
- Phone
- 2085871500
- Fax
- 2085873180
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MOUNTAIN HOME, ID
| Name | Credential | NPI |
|---|---|---|
| KYLE HOLLENBACK | — | 1932574381 |
| MR. DIRK KENNETH BASKETT | PA-C | 1841920220 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.