Emily S Smith PA

NPI 1215254529 - Physician Assistant - 363AM0700X

NPI Details
NPI 1215254529
Gender Female
Enumeration Date 04/26/2010
Last Updated 04/26/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
6783 S REDWOOD RD
SUITE 103
WEST JORDAN UT, 84084-5677, US
Phone (801) 561-8398
Fax (801) 302-0645
Business Location
PO BOX 1009
RIVERTON UT, 84065-1009, US
Phone (801) 561-8398
Fax (801) 302-0645
Toxanomy
Taxonomy Code 363AM0700X
License State Utah
License Number 7442555-1206
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According to our database, Emily S Smith PA NPI is 1215254529, taxonomy code is 363AM0700X and license number is 7442555-1206, license state is located at Utah. Emily S Smith PA physically located at 6783 S Redwood Rd, West Jordan UT, 84084-5677. NPI Number Emily S Smith PA has the Individual type.

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1215254529 NPI number is provided on an as is basis without warranty of any kind. 1215254529 is maintained by the National Plan & Provider Enumeration System. The contents of Emily S Smith PA are for informational purposes only.