Individual
WADE T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 993-9527
Mailing address
3660 E MILLCREEK RD, SALT LAKE CITY, UT 84109-3859
(801) 910-0060
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
6177042-1204
UT
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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