NPI 1457502288

Edward Gregory Smith, MSCCCA

Practitioner Audiologist Pocatello, ID

Practice location

Address: 921 S 8th Ave Stop 8116, Pocatello, ID 83209-0002
Phone: (208) 282-3495
Fax: (208) 282-4571
Mailing address: 1651 W Sundance Rd, Pocatello, ID 83204-7418

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence HA-1052 (ID)

Other Audiologist providers in Idaho →

Registry record

NPI: 1457502288
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2008
Record last updated: 10 Oct 2008

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.