Organization
GENERAL SURGERY OF SOUTHERN COLORADO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B SMITH (OWNER)
(719) 561-4300
Entity
Organization
Contact information
Practice address
1925 E ORMAN AVE, SUITE A435, PUEBLO, CO 81004-3537
(719) 561-4300
(719) 561-4303
Mailing address
1925 E ORMAN AVE, SUITE A435, PUEBLO, CO 81004-3537
(719) 561-4300
(719) 561-4303
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93787588
—
CO
Enumeration date
12/03/2006
Last updated
09/24/2010
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