Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roman Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619851862

Roman Smith is a Student in an Organized Health Care Education/Training Program in Moscow, Idaho. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

875 Perimeter Dr
Moscow, ID 83844-9803
Phone: (208) 855-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1619851862
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address875 Perimeter Dr, Moscow, ID 83844-9803

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