Individual
GARY SMITH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 JOHNSON RD, GOLDEN, CO 80401-6002
(303) 914-2680
Mailing address
PO BOX 194, APPLETON, WI 54912-0194
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26202330
WI
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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