Individual
DR. ROBERT MATTHEW SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M, C.PED
Contact information
Practice address
2030 MOUNTAIN VIEW AVE, SUITE 300, LONGMONT, CO 80501-3178
(303) 974-7474
(303) 997-1085
Mailing address
14391 W 2ND PL, GOLDEN, CO 80401-5210
(215) 888-2970
(303) 997-1085
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
657
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7641870
AETNA
—
01
—
84-1175163-04
PACIFICARE
—
01
—
841175163004
ROCKY MOUNTAIN HP
—
Enumeration date
07/12/2006
Last updated
09/13/2011
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