Individual
BRIELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3555 LUTHERAN PKWY, SUITE 340, WHEAT RIDGE, CO 80033-6021
(303) 996-6005
Mailing address
3555 LUTHERAN PKWY, SUITE 340, WHEAT RIDGE, CO 80033-6021
(303) 996-6005
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0004700
CO
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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