Individual
BRANDI D SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 743-5855
Mailing address
12522 ALCOTT ST, BROOMFIELD, CO 80020-3850
(720) 887-1160
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
128925
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016847
KAISER-COMMERCIAL NUMBER
—
Enumeration date
04/19/2007
Last updated
07/08/2007
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