Dr. Kristi Johnson Smock, M.D.
Pathology, Hematology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1255510285
StatusActive
Last updated in NPPESNov 23, 2021
Details
- NPI
- 1255510285
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kristi Johnson Smock
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2007
- Certification date
- Nov 23, 2021
- Last updated
- Nov 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZH0000X | Pathology, Hematology | 5756815-1205 | UT | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 5756815-1205 | UT |
Practice location
500 Chipeta WayMail Stop 115-G04
Salt Lake City, UT 84108
Phone 801-583-2787 · Fax 801-585-3831
Mailing address
500 Chipeta WayMail Stop 115-G04
Salt Lake City, UT 84108
Phone 801-583-2787 · Fax 801-585-3831
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