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Individual
ELIZABETH M SMITH
Active
Individual
ELIZABETH M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
03868067
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03868067
ASCP
—
Enumeration date
10/12/2022
Last updated
10/12/2022
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