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1720502859
DEREK SMITH
OGDEN, UT
NPI
1720502859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2017-07-31
Last Update Date
2017-08-01
Business Address
DEREK SMITH Physician Assistant
4403 HARRISON BLVD
OGDEN, UT 84403-3271
Phone number: 801-387-2750
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Mailing Address
DEREK SMITH Physician Assistant
1059 E 2925 N
OGDEN, UT 84414-1772
Phone number: 801-668-3998
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