Individual
SHANNON SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 E 800 N, SPANISH FORK, UT 84660-1209
(801) 794-1490
Mailing address
114 E 800 N, SPANISH FORK, UT 84660-1209
(801) 794-1490
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
204009858
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063481646
NPI
UT
01
—
1194744615
NPI
UT
01
—
1821299751
NPI
UT
Enumeration date
04/19/2017
Last updated
04/19/2017
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