Individual
RUTH ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 S 400 W, SALT LAKE CITY, UT 84101-2201
(801) 364-0058
(801) 364-0161
Mailing address
404 S 400 W, SALT LAKE CITY, UT 84101-2201
(801) 364-0058
(801) 364-0161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1584281205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584281205
—
UT
Enumeration date
02/11/2008
Last updated
02/11/2008
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