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Contact Information

MARSHALL E SMITH, MD
100 N MEDICAL DR
SALT LAKE CITY, UT84113-1103
 Phone: 801-581-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MARSHALL E SMITH · (Male)

NPI # 1154411783
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2006
Last updated 11/17/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 333284-1205
  • ID Medicaid 805065800
  • UT Medicaid D1815
  • UT Other 990009279 RAILROAD MEDICARE
Hospital affiliation(s)
  • LDS HOSPITAL - (Acute Care)
    8TH AVENUE AND C STREET
    SALT LAKE CITY, UT 84143
  • UNIVERSITY HEALTH CARE/UNIV HOSPITALS AND CLINICS - (Acute Care)
    50 NORTH MEDICAL DRIVE
    SALT LAKE CITY, UT 84132
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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