Individual
DR. JAMES BRADBURY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 KENDALL DR, LAMAR, CO 81052-3943
(719) 336-7005
(719) 336-7026
Mailing address
401 KENDALL DRIVE, LAMAR, CO 81052-3943
(719) 336-7005
(719) 336-7026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38321
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93787588
—
CO
01
—
K9658
MEDICARE UNSPECIFIED
CO
Enumeration date
08/19/2005
Last updated
04/08/2015
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