Individual
KATHARINE ROBERTA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
10329 S STATE ST, SANDY, UT 84070-4114
(801) 619-7904
(801) 619-1452
Mailing address
10329 S STATE ST, SANDY, UT 84070-4114
(801) 619-7904
(801) 619-1452
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
8115420-2801
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8115420-2801
DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING (UTAH)
UT
Enumeration date
01/15/2016
Last updated
01/15/2016
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