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1750376935
WALLACE D SMITH
BOUNTIFUL, UT
NPI
1750376935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: UT 163585-1205)
Enumeration Date
2005-09-14
Last Update Date
2008-01-11
Business Address
Mr. WALLACE D SMITH MD
620 MEDICAL DR SUITE 340
BOUNTIFUL, UT 84010-4908
Phone number: 801-299-2229
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Mailing Address
Mr. WALLACE D SMITH MD
620 MEDICAL DR SUITE 340
BOUNTIFUL, UT 84010-4908
Phone number: 801-299-2229
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