MEDICARE: SMITA ARMSTRONG MD

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
1	207Q00000X	Family Medicine Physician	MRM2303	ID
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	14287673-1205	UT

General Provider Information

NPI Number	:	1932893534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SMITA ARMSTRONG MD

Provider Business Mailing Address
First Line	:	501 S CHIPETA WAY RM 1000
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1222
Country	:	US
Telephone Number	:	801-585-0895
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 S CHIPETA WAY RM 1000
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-1222
Country	:	US
Telephone Number	:	801-585-0895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	07/02/2026

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