Individual
EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6011 E WOODMEN RD, SUITE 120, COLORADO SPRINGS, CO 80923-2602
(719) 571-8600
Mailing address
2222N NEVADA AVE 4007, COLORADO SPRINGS, CO 80907-6863
(719) 766-8500
(719) 634-1448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004445
CO
Other
Enumeration date
11/09/2015
Last updated
11/24/2015
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