Individual
KATIE JANE MANG-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 WELLINGTON AVE, SUITE 3C, GRAND JUNCTION, CO 81501-6132
(970) 243-7908
(970) 245-0656
Mailing address
750 WELLINGTON AVE, SUITE 3C, GRAND JUNCTION, CO 81501-6132
(970) 243-7908
(970) 245-0656
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
48534
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86526537
—
CO
Enumeration date
02/12/2007
Last updated
10/16/2012
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