Individual
TREVOR KENT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7291
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 709-9288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
13448347-1204
UT
207R00000X
Internal Medicine Physician
MRO-1906
ID
208M00000X
Hospitalist Physician
Primary
13448347-1204
UT
Other
Enumeration date
03/30/2020
Last updated
11/09/2023
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