Organization
STANTON M. SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI M DAVENPORT MA (OFFICE MANAGER)
(801) 261-0159
Entity
Organization
Contact information
Practice address
279 E 5900 S, #102, MURRAY, UT 84107-5421
(801) 261-0159
(801) 261-1447
Mailing address
279 E 5900 S, #102, MURRAY, UT 84107-5421
(801) 261-0159
(801) 261-1447
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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