Smith, Wallace Austin
Smith, Wallace Austin is an individual health care provider with primary practice located at 383 S 300 E , St George UT 84770-3620. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Smith, Wallace Austin can be contacted via phone (435) 628-2826.Contact Information
Primary practice address
383 S 300 E
St George UT 84770-3620
Phone: (435) 628-2826
Fax: (435) 628-2839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 9791675-1205 | Utah |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 16478 | Nevada |
Profile Details
| NPI number | 1376800532 |
|---|---|
| LBN Legal business name | Smith, Wallace Austin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2012 |
| Last updated | Sep 27th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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