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Individual

MICAH JEREMY SMITH

Active
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Individual

MICAH JEREMY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6396674-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
63966741200001
BCBS
UT
01
P00434283
RR
Enumeration date
07/12/2006
Last updated
05/19/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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