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Contact Information

ROBERT P SMILANICH, MD
1055 N 300 W
SUITE 205
PROVO, UT84604-3374
 Phone: 801-374-9100
 Fax: 801-374-9117
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for ROBERT P SMILANICH · (Male)

NPI Number 1730187600
Status Active
Credentials MD
Entity Individual
Enumeration date 07/13/2005
Last updated 02/13/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 3089384-1205
  • UT Other 30893841201001 BLUE CROSS
  • UT Other 638375 DMBA
  • UT Other 870656925SM1 EMIA
Hospital affiliation(s)
  • UTAH VALLEY REGIONAL MEDICAL CENTER - (Acute Care)
    1034 NORTH 500 WEST
    PROVO, UT 84604
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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