Individual
ADRIENNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N 1900 E, SALT LAKE CITY, UT 84132-0002
(801) 581-7822
Mailing address
3191 S TETON DR, SALT LAKE CITY, UT 84109-2330
(970) 443-0995
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9515382-1206
UT
Other
Enumeration date
08/25/2006
Last updated
12/20/2021
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