Individual
MADISON ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 NORTH AVE, GRAND JUNCTION, CO 81501-3122
(719) 510-6848
Mailing address
8084 OLIVER RD, PEYTON, CO 80831-6089
(719) 510-6848
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
308518
CO
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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