Individual
DEBRA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 E 3RD ST, DELTA, CO 81416-2815
(970) 874-7681
Mailing address
PO BOX 10100, DELTA, CO 81416-0008
(970) 874-7225
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
40532
CO
207Q00000X
Family Medicine Physician
Primary
40532
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61336319
—
CO
Enumeration date
06/30/2006
Last updated
12/10/2021
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