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Individual
DANIEL R SMITH
Active
Individual
DANIEL R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31675
CO
207Q00000X
Family Medicine Physician
44181
WI
Other
Enumeration date
09/19/2005
Last updated
01/08/2015
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