NPI 1376800532

Wallace Austin Smith, MD

Practitioner Dermatology Physician St George, UT

Practice location

Address: 383 S 300 E, St George, UT 84770-3620
Phone: (435) 628-2826
Fax: (435) 628-2839

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 9791675-1205 (UT)

Other Dermatology providers in Utah →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 16478 (NV)

Registry record

NPI: 1376800532
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Apr 2012
Record last updated: 27 Sep 2016

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.