Organization
VERNON M. SMITH JR, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERNON SMITH MD (PRESIDENT)
(303) 232-7660
Entity
Organization
Contact information
Practice address
1805 KIPLING ST, LAKEWOOD, CO 80215-1477
(303) 232-7660
(303) 934-7332
Mailing address
1805 KIPLING ST, LAKEWOOD, CO 80215-1477
(303) 232-7660
(303) 934-7332
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01248608
—
CO
01
—
CJ7189
RRW MEDICARE
CO
Enumeration date
12/14/2007
Last updated
05/05/2010
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