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NPI Code Detail

MEDICARE: JENNIFER SMYTH CURTI PA-C

MEDICARE: JENNIFER SMYTH CURTI PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician AssistantPA2011-0045NM
2363A00000XPhysician Assistant8483264-1206UT

General Provider Information

NPI Number : 1134497282
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER SMYTH CURTI PA-C
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number : 801-408-7500
Fax Number :
Provider Business Practice Location Address
First Line : 324 E 10TH AVE STE 200
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84103-2869
Country : US
Telephone Number : 801-408-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2011
Last Update Date : 07/21/2022

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