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Individual
TIFFANY SMITH
Active
Individual
TIFFANY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0066555
CO
207Q00000X
Family Medicine Physician
TL0007547
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
05/30/2019
Last updated
08/31/2022
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