Individual
CLINTON M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MN, CRNA
Contact information
Practice address
14127 ROARING FORK CIR, BROOMFIELD, CO 80023-3929
(206) 794-5972
Mailing address
14127 ROARING FORK CIR, BROOMFIELD, CO 80023-3929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP60076736
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRA-100090
CO
Other
Enumeration date
11/14/2007
Last updated
02/18/2025
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