Individual
WILLIAM R SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3838 S 700 E, SUITE 200, SALT LAKE CITY, UT 84106-1466
(801) 261-4988
(801) 269-9427
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0331584-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03315844400001
BXBS
UT
05
—
D4270
—
UT
Enumeration date
09/12/2005
Last updated
07/08/2007
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