Individual
ELLEN ANDERSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
14093 ROARING FORK CIR, BROOMFIELD, CO 80020-3924
(303) 465-0876
Mailing address
14093 ROARING FORK CIR, BROOMFIELD, CO 80020-3924
(303) 465-0876
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
378
CO
Other
Enumeration date
03/26/2007
Last updated
01/08/2008
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