Individual
DR. JASON LARRY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, MS, DACNB
Contact information
Practice address
520 MEDICAL DR STE 200, BOUNTIFUL, UT 84010-8928
(801) 292-4400
(844) 308-6615
Mailing address
520 MEDICAL DR STE 200, BOUNTIFUL, UT 84010-8928
(801) 292-4400
(844) 308-6615
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
369867-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350055669
RAILROAD MEDICARE NUMBER
UT
Enumeration date
07/03/2006
Last updated
12/06/2022
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