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Individual
ROBERT P SMILANICH
Active
Individual
ROBERT P SMILANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
3089384-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30893841201001
BLUE CROSS
UT
01
—
638375
DMBA
UT
01
—
870656925SM1
EMIA
UT
Enumeration date
07/13/2005
Last updated
02/13/2014
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