Individual
STACY RUTH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1548 E 4500 S STE 105, SALT LAKE CITY, UT 84117-5209
(801) 424-3090
(801) 424-3091
Mailing address
PO BOX 27688, SALT LAKE CITY, UT 84127-0688
(801) 534-1360
(801) 366-9883
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
6024879-1205
UT
Other
Enumeration date
02/21/2008
Last updated
01/21/2022
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