Individual
DR. TERRY PAUL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
82 S 1100 E, SUITE 300, SALT LAKE CITY, UT 84102-1686
(801) 505-5277
(801) 505-5280
Mailing address
PO BOX 540610, N SALT LAKE, UT 84054-0610
(801) 451-6060
(801) 451-6060
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1027420501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013972157
—
UT
Enumeration date
04/20/2006
Last updated
03/21/2014
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