Individual
PHILLIP SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 W 400 S, SALT LAKE CITY, UT 84101-1829
(801) 359-8862
Mailing address
230 W 400 S, SALT LAKE CITY, UT 84101-1829
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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