Individual
MICHAEL JOHN SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3409 W 12600 S, SUITE 200, RIVERTON, UT 84065-7260
(801) 688-3693
Mailing address
3409 W 12600 S, SUITE 200, RIVERTON, UT 84065-7260
(801) 688-3693
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7845949-1202
UT
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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