Individual
JOHN LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3336 PIONEER PKWY, SUITE 203, SALT LAKE CITY, UT 84120-2000
(801) 964-3925
(801) 964-3928
Mailing address
PO BOX 150, WEST JORDAN, UT 84084-0150
(801) 601-2825
(801) 562-3169
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
149289-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548293400
—
UT
Enumeration date
07/07/2006
Last updated
11/10/2011
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