Lary J Smith
Podiatrist Foot & Ankle Surgery
754 South Main Suite 3
St George
, Utah 84770-5504
Lary J Smith
Podiatrist Foot & Ankle Surgery
754 South Main Suite 3
St George
, Utah 84770-5504
(435) 634-1601
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About
Features
Specialties
- Podiatrist
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Lary J Smith
- 754 South Main Suite 3
- St George, UT
- Zip : 84770-5504
- Fax : (435) 634-1601
- Phone : (435) 628-2671
Second Address
- Lary J Smith
- 754 South Main Suite 3
- St George, UT
- Zip : 84770-5504
- Fax : (435) 634-1601
- Phone : (435) 628-2671
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 314121-0501 | UT |
| N | 222Z00000X | Podiatrist | 314121-0501 | UT |
| N | 213E00000X | Podiatrist | 9203 | NV |
| N | 222Z00000X | Podiatrist | 9203 | NV |
| Y | 213ES0103X | Foot & Ankle Surgery | 314121-0501 | UT |
| N | 213ES0103X | Foot & Ankle Surgery | 9203 | NV |
National Provider Identifier
| NPI | 1093713539 |
|---|---|
| Provider Name | Lary J Smith |
| First Address | St George, UT 84770-5504 |
| Second Address | St George, UT 84770-5504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2005 |
| Last Update Date | 13/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 002188004 | (05) | NV |
| U27995 | (02) | NV |
| U27995 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.