NPI 1225795206

Amanda Michelle Smith, CSFA

Practitioner Surgical Assistant Meridian, ID

Practice location

Address: 520 S Eagle Rd, Meridian, ID 83642-6351
Phone: (208) 706-2161
Mailing address: 25125 Lower Pleasant Ridge Rd, Wilder, ID 83676-5511

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Idaho →

Registry record

NPI: 1225795206
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Nov 2021
Record last updated: 24 Nov 2021

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.