Individual
JEFFREY R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1157 N 300 W, SUITE 201, PROVO, UT 84604-6124
(801) 357-8898
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 357-8898
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1816191205
UT
Other
Enumeration date
07/31/2006
Last updated
06/16/2010
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