NPI 1003162058

Stacy R Smith MD PC

Organisation Ophthalmology Physician Salt Lake City, UT

Practice location

Address: 1548 E 4500 S STE 105, Salt Lake City, UT 84117-4209
Phone: (801) 424-3090
Fax: (801) 424-3091

Authorised official

Name: Stacy R Smith
Title: Physician
Phone: (801) 424-3090

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 60248791205 (UT)

Other Ophthalmology providers in Utah →

Registry record

NPI: 1003162058
Entity type: Organization
NPI issued: 27 Jul 2012
Record last updated: 13 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.