Search › Utah › 367500000X
Theodore Smith, CRNA
NPI 1336506658 · on the registry since 2016
Practice
- Address
- 2055 N Main St
Tooele, UT 84074 - Phone
- (801) 698-4825
- Organisation at this address
- Tooele Hospital Corporation
Tooele Hospital Corporation
Tooele Hospital Corporation
Tooele Hospital Corporation
Deseret Peak Anesthesia, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 28
Additional practice sites
- 600 East Blvd, Elkhart, IN
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
163W00000X
163W00000X
367500000X
367500000X
367500000X - Licence states on file
- IN, UT, FL, MT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah