Individual
TIFFANY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2478 PATTERSON RD STE 27, GRAND JUNCTION, CO 81505-3606
(970) 644-4300
(970) 263-4323
Mailing address
PO BOX 1727, GRAND JUNCTION, CO 81502-1727
(970) 644-4300
(970) 263-4323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0066555
CO
207Q00000X
Family Medicine Physician
TL0007547
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000173588
—
CO
Enumeration date
05/30/2019
Last updated
08/31/2022
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