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Individual
MARSHALL E. SMITH
Active
Individual
MARSHALL E. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
333284-1205
UT
207YP0228X
Pediatric Otolaryngology Physician
Primary
333284-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805065800
—
ID
01
—
990009279
RAILROAD MEDICARE
UT
05
—
D1815
—
UT
Enumeration date
10/13/2006
Last updated
11/17/2021
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