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Individual

ALBERT GORDON SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 N 1900 E, SOM 3R152, SALT LAKE CITY, UT 84132-2305
(801) 585-5884
(801) 585-2054
Mailing address
30 N 1900 E, SOM 3R152, SALT LAKE CITY, UT 84132-2305
(801) 585-5884
(801) 585-2054

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
3427931205
UT
2084N0600X
Clinical Neurophysiology Physician
3427931205
UT

Other

Enumeration date
08/02/2006
Last updated
08/03/2007
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