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Contact Information

STACY R SMITH MD PC
1548 E 4500 S
STE 105
SALT LAKE CITY, UT84117-4209
 Phone: 801-424-3090
 Fax: 801-424-3091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for STACY R SMITH MD PC · (Female)

NPI # 1003162058
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2012
Last updated 05/13/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • UT License # 60248791205
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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