Stacy R Smith MD PC

NPI #1003162058 in Salt Lake City, Utah

Provider Information

NPI Number: 1003162058
Entity Type: Organization
Organization Name: Stacy R Smith MD PC
Primary Specialty: Ophthalmology
Enumeration Date: Jul 27, 2012
Last Updated: May 13, 2013

Practice Location

Address: 1548 E 4500 S
Address 2: STE 105
City: Salt Lake City
State: Utah
ZIP Code: 84117-4209
Phone: (801) 424-3090

Authorized Official

Name: STACY R SMITH, M.D.
Title: PHYSICIAN
Phone: (801) 424-3090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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