Individual
DR. LANCE CLYDE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1059 N 100 W, BEAVER, UT 84713-1690
(435) 438-7280
Mailing address
PO BOX 1690, BEAVER, UT 84713-1690
(435) 438-7280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62664751205
UT
Other
Enumeration date
10/20/2006
Last updated
11/30/2012
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