Individual
SCOTT L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 N 2000 W, PLEASANT GROVE, UT 84062-4047
(801) 756-3511
(801) 443-1164
Mailing address
830 N 2000 W, PLEASANT GROVE, UT 84062-4047
(801) 756-3511
(801) 443-1164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1804361205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09661
—
UT
01
—
107007402101
SELECT HEALTH
UT
01
—
18687
PEHP
UT
01
—
5556
DESERET HEALTHCARE TRUST
UT
01
—
87029387384062B004
TRICARE
UT
01
—
870293873SM1
EMIA
UT
01
—
QMXAF01481
ALTIUS
UT
Enumeration date
08/28/2006
Last updated
04/29/2013
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