Individual
BRADY M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BRIGHAM YOUNG UNIVERSITY, 123 SAB, PROVO, UT 84602
(801) 422-1549
Mailing address
BRIGHAM YOUNG UNIVERSITY, 123 SAB, PROVO, UT 84602
(801) 422-1549
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
9749511-4810
UT
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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