Individual
ELIZABETH R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3690 S MAIN ST, SALT LAKE CITY, UT 84115-4423
(801) 464-8929
Mailing address
PO BOX 413021, SALT LAKE CITY, UT 84141-3021
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5211287-1205
UT
Other
Enumeration date
10/13/2006
Last updated
11/17/2021
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