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Individual

BRIAN K SMITH

Active
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Individual

BRIAN K SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30-82898-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501277
—
NV
01
—
107008901101
IHC
UT
05
—
116283700
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED
UT
01
—
30828981200001
BCBS
UT
01
—
526920
DESERET MUTUAL
UT
01
—
57972
PEHP
UT
01
—
704
HEALTHY U
UT
05
—
805975100
—
ID
05
—
822165
—
AZ
01
—
870545614SMT
EDUCATORS MUTUAL
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA07387
MOLINA
UT
Enumeration date
08/30/2006
Last updated
10/15/2012
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