Individual
DR. JEROME I SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2025 BIGHORN RD, FT COLLINS, CO 80525-3480
(970) 229-9800
(970) 221-5406
Mailing address
3702 AUTOMATION WAY, SUITE 103, FORT COLLINS, CO 80525-5737
(970) 224-1670
(970) 221-5206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17246
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01172469
—
CO
Enumeration date
05/06/2006
Last updated
01/15/2010
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