Shannon Smalley

NPI #1609300383 in Spanish Fork, Utah

Provider Information

NPI Number: 1609300383
Entity Type: Individual
Name: Shannon Smalley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Apr 19, 2017
Last Updated: Apr 19, 2017

Practice Location

Address: 114 E 800 N
City: Spanish Fork
State: Utah
ZIP Code: 84660-1209
Phone: (801) 794-1490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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