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NPI 1114398765

IndividualActive

Bradley Smelcer, OWNER

NPI 1114398765 · Case Manager/Care Coordinator · Emmett, ID

Provider details

NPI number: 1114398765
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Credential: OWNER
Sex: Male
Sole proprietor: No

Practice location

2328 Mountain View Dr

Emmett, ID 83617-9533

Phone: (208) 365-3183

Fax: (208) 365-4205

More ID providers

Mailing address

2328 Mountain View Dr

Emmett, ID 83617-9533

Registry dates

Enumerated: 2015-10-08
Last updated: 2015-10-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bradley Smelcer, OWNER — NPI 1114398765, Emmett, ID | NPI Central