Individual
DR. JOHN TAYLOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MARIO CAPECCHI DR, 4550, SLC, UT 84113-1103
(801) 213-3900
Mailing address
PO BOX 413026, SALT LAKE CITY, UT 84141-3026
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
168731-1205
UT
208600000X
Surgery Physician
168731-1205
UT
2086S0120X
Pediatric Surgery Physician
168731-1205
UT
2086S0127X
Trauma Surgery Physician
168731-1205
UT
Other
Enumeration date
09/26/2006
Last updated
11/23/2021
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