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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

NPI Number 1003162058
LBN Legal business name STACY R SMITH MD PC
Authorized official STACY SMITH - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2012
Last updated 05/13/2013 - About 13 years ago
Identifiers
UT License # 60248791205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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