Individual
TAMMY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. PHD
Contact information
Practice address
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-0001
(801) 585-6387
Mailing address
175 NORTH MEDICAL DRIVE EAST, SALT LAKE CITY, UT 84132-0001
(801) 585-6387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125066370
IL
2084N0400X
Neurology Physician
Primary
11293283-1205
UT
2084N0400X
Neurology Physician
125066370
IL
Other
Enumeration date
06/16/2015
Last updated
03/29/2022
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