Individual
TREVOR REED SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 E 1400 N STE 150, LOGAN, UT 84341-2549
(435) 932-2038
(435) 359-2856
Mailing address
3571 N MORGAN VALLEY DR, MORGAN, UT 84050-9606
(801) 710-9849
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8841776-1205
UT
207RN0300X
Nephrology Physician
Primary
8841776-1205
UT
Other
Enumeration date
04/12/2012
Last updated
11/19/2021
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