NPI 1043204746

Scott Alan Smith, DO

Practitioner Pediatrics Physician Ammon, ID

Practice location

Address: 3067 Eagle Dr, Ammon, ID 83406-1273
Phone: (208) 522-4600
Fax: (208) 552-7521

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence O-257 (ID)

Other Pediatrics providers in Idaho →

Registry record

NPI: 1043204746
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2005
Record last updated: 19 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.