Individual
DANIELLE ELISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-8411
Mailing address
126 E 230 N, VINEYARD, UT 84059-2903
(801) 244-9660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7469956-1205
UT
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
7469956-1205
UT
Other
Enumeration date
11/11/2008
Last updated
01/05/2022
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