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RUSSELL A. SMITH MD PC NPI 1588843536


NPI Information

NPI: 1588843536
Provider Name: RUSSELL A. SMITH, MD PC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
9600 S 1300 E
300
SANDY, UT
ZIP 84094
Phone: (801) 571-7777
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RUSSELL A. SMITH, MD PC is a health service clinic center in Sandy, UT. RUSSELL A. SMITH, MD PC NPI is 1588843536. The provider is registered as an organization entity type.

The provider's business location address is:

9600 S 1300 E
300
SANDY, UT
ZIP 84094-766
Phone: (801) 571-7777
Fax: (801) 523-1848

The provider's authorized official is Russell A Smith .
The authorized official title is Pres and has the following contact phone number (801) 571-7777.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 4/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth Service4938616-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1528709718013MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.