Russell A. Smith, Md Pc

LBN: Russell A. Smith, Md Pc
Russell A. Smith, Md Pc is an health care organization with primary practice located at 9600 S 1300 E 300, Sandy UT 84094-3766. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Russell A. Smith, Md Pc can be contacted via phone (801) 571-7777, or through Smith, Russell A via phone (801) 571-7777.

Contact Information

Primary practice address
9600 S 1300 E 300 Sandy UT 84094-3766
Phone: (801) 571-7777
Fax: (801) 523-1848
Website:
Map and Directions
Authorized official contact:
Name: Smith, Russell A Doctor of Medicine (MD)
Phone: (801) 571-7777

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 4938616-1205 Utah

Profile Details

NPI number 1588843536
LBN Legal business name Russell A. Smith, Md Pc
DBA Doing business as
Authorized official Smith, Russell A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2007
Last updated Apr 4th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588843536 NPPES
Utah MEDICAID 528709718013

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