Individual
DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5097 S 900 E STE 100, MURRAY, UT 84117-5725
(801) 414-8758
Mailing address
527 N 30 W, AMERICAN FORK, UT 84003-1621
(801) 882-4035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4790877-4405
UT
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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