Individual
CHRISTIAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5169 S COTTONWOOD ST STE 303, MURRAY, UT 84107-6768
(800) 548-6672
Mailing address
2656 TIGER LN, RICHLAND, WA 99352-8001
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
12366062-1501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
06/25/2023
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