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Individual

BRYSON S. SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4403 HARRISON BLVD., SUITE 1815, OGDEN, UT 84403-3339
(801) 732-5930
(801) 732-5988
Mailing address
4403 HARRISON BLVD., SUITE 1815, OGDEN, UT 84403-3339
(801) 732-5900
(801) 732-5988

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
262635-1205
UT
207T00000X
Neurological Surgery Physician
Primary
262635-1205
UT

Other

Enumeration date
02/23/2007
Last updated
09/12/2012
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