NPI 1083642151

Smp Family Medicine, PC

Organisation Family Medicine Physician Salt Lake City, UT

Practice location

Address: 1220 E 3900 S Suite 4a, Salt Lake City, UT 84124-1377
Phone: (801) 747-0922
Fax: (801) 747-0924
Mailing address: PO Box 932, Sandy, UT 84091-0932

Authorised official

Name: Nicola Irene Riley
Title: Owner
Phone: (801) 747-0922

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 56658201205 (UT)

Other Family Medicine providers in Utah →

Registry record

NPI: 1083642151
Entity type: Organization
NPI issued: 29 Jun 2006
Record last updated: 3 Nov 2008

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.