Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffery Michael Smith, PA

Individual provider Physician Assistant · NPI 1861961153

Jeffery Michael Smith, PA is a Physician Assistant in Slc, Utah. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

441 S Redwood Rd
Slc, UT 84104-3539
Phone: (801) 973-2588
Fax: (801) 973-6985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1861961153
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 16, 2018
Last updated in NPPESNovember 17, 2021
Certification dateNovember 17, 2021
Mailing addressPo Box 307, Bountiful, UT 84011-0307

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