Individual
DR. KRISTINE ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, OTOLARYNGOLOGY/ENT, CLINIC 9, SALT LAKE CITY, UT 84132
(801) 587-8368
Mailing address
2110 BOWNESS RD NW, CALGARY, AB T2N3L-1
(587) 228-3391
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10222696-1205
UT
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
10222696-1205
UT
Other
Enumeration date
03/09/2017
Last updated
03/06/2022
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