Individual
MICHAEL TYLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC HOSPITALS, CB #7010, CHAPEL HILL, NC 27599-7010
(919) 966-5136
(984) 974-4873
Mailing address
PO BOX 271647, SALT LAKE CITY, UT 84127-1647
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
188833
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052957
—
NC
Enumeration date
09/06/2007
Last updated
10/10/2016
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