# COLORADO CENTER FOR OTOLARYNGOLOGY, PROFESSIONAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164421582
- **Authorized official:** DR. DANIEL K SMITH M.D. (PARTNER)
- **Authorized official phone:** (719) 574-6653

## Contact information

- **Practice address:** 3920 N UNION BLVD, SUITE 310, COLORADO SPRINGS, CO 80907-4900
- **Practice address phone:** (719) 574-6653
- **Practice address fax:** (719) 574-2778
- **Mailing address:** 3920 N UNION BLVD, SUITE 310, COLORADO SPRINGS, CO 80907-4900
- **Mailing address phone:** (719) 574-6653
- **Mailing address fax:** (719) 574-2778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | BC2020422 | CO | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 01/05/2011