Individual
MR. JONATHAN CRAIG SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1435 VILLAGE DR DEPT 2801, OGDEN, UT 84408-2801
(801) 549-8028
Mailing address
1339 N 1580 W, FARMINGTON, UT 84025-3055
(801) 549-8282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8588707-4810
UT
Other
Enumeration date
08/27/2014
Last updated
03/03/2017
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