THEODORE C SMITH

TOOELE, UT
NPI1336506658
Professional NameT.C. SMITH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  7570542-8901)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28227009A)
163W00000X Registered Nurse
(Licence: UT  7570542-3102)
163W00000X Registered Nurse
(Licence: FL  9369122)
367500000X Nurse Anesthetist, Certified Registered
(Licence: UT  7570542-4406)
367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  288227009A)
367500000X Nurse Anesthetist, Certified Registered
(Licence: MT  143224)
Enumeration Date2016-01-16
Last Update Date2022-05-17
Business Address
THEODORE C SMITH CRNA
2055 N MAIN ST
TOOELE, UT 84074-9819
Phone number: 801-698-4825
Mailing Address
THEODORE C SMITH CRNA
622 W LAFAYETTE ST
STANSBURY PARK, UT 84074-5571
Phone number: 801-698-4825