Stephen Max Smith, PA-C

Physician Assistant · Challis, ID

Individual Active NPI

NPI number 1639448798

Practice location

611 Clinic Road
Challis, ID 83226
Phone
(208) 879-4351
Fax
(208) 879-5216

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NPI record

NPI
1639448798
Entity type
Individual (Type 1)
Enumeration date
December 19, 2011
Last updated
July 21, 2020
Certified
July 21, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA1321 ID

Mailing address

PO Box 980
Challis, ID 83226-0980
Phone
(208) 879-4351
Fax
(208) 879-5216

About Stephen Smith

Stephen Max Smith, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 611 Clinic Road, Challis, ID 83226. The NPI number 1639448798 was assigned on December 19, 2011 and the record was last updated on July 21, 2020.

Stephen Smith lists a license in the registry: #PA1321 (ID) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen Max Smith, PA-C?

The NPI number is 1639448798.

What is the phone number of Stephen Smith?

The phone number listed for the practice location is (208) 879-4351.

Where is Stephen Smith located?

611 Clinic Road, Challis, ID 83226.

What is the taxonomy code for Stephen Smith?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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