Individual
BRIAN K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4401 HARRISON BOULEVARD, MCKAY DEE HOSPITAL, OGDEN, UT 84403
(801) 507-5248
(801) 733-5618
Mailing address
3340 NORTH CENTER ST, #800, LEHI, UT 84043-7406
(801) 990-1911
(801) 990-1912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
30-82898-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501277
—
NV
01
—
107008901101
IHC
UT
05
—
116283700
—
WY
01
—
1502954
UMWA
UT
01
—
2090168
UNITED
UT
01
—
30828981200001
BCBS
UT
01
—
526920
DESERET MUTUAL
UT
01
—
57972
PEHP
UT
01
—
704
HEALTHY U
UT
05
—
805975100
—
ID
05
—
822165
—
AZ
01
—
870545614SMT
EDUCATORS MUTUAL
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA07387
MOLINA
UT
Enumeration date
08/30/2006
Last updated
10/15/2012
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