Organization
SMITH MEDICAL DIRECT SPECIALTY CARE SUGERY CENTER OF DENVER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA FAGAN (CEO)
(720) 912-8289
Entity
Organization
Contact information
Practice address
8515 W COAL MINE AVE STE 240, LITTLETON, CO 80123-4429
(720) 912-8289
(720) 677-1193
Mailing address
8515 W COAL MINE AVE STE 240, LITTLETON, CO 80123-4429
(720) 912-8289
(720) 677-1193
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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