| Doctor Name: | STANTON MILLER SMITH |
| NPI Number: | 1043283856 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 1045170501 |
| Business Practice Address: | 279 E 5900 S Suite 102 Murray, UT - 841075421 |
| Business Phone Number: | 8012610159 |
| Business Fax Number: | 8012611447 |
| Mailing Address: | 279 E 5900 S, Ste 102 MURRAY |
| State: | UT |
| Postal Code: | 841075421 |
| Phone Number: | 8012610159 |
| Fax Number: | 8012611447 |
| NPI Enumeration Date: | 02/10/2006 |
| NPI Last Update Date: | 09/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 1045170501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |