Organization
COLORADO CENTER FOR OTOLARYNGOLOGY, PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL K SMITH M.D. (PARTNER)
(719) 574-6653
Entity
Organization
Contact information
Practice address
3920 N UNION BLVD, SUITE 310, COLORADO SPRINGS, CO 80907-4900
(719) 574-6653
(719) 574-2778
Mailing address
3920 N UNION BLVD, SUITE 310, COLORADO SPRINGS, CO 80907-4900
(719) 574-6653
(719) 574-2778
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
BC2020422
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04020863
—
CO
Enumeration date
07/18/2005
Last updated
01/05/2011
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