Individual
DR. PETER CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, NORTH MEDICAL OFFICE BUILDING, LOVELAND, CO 80538-9004
(970) 203-7050
(970) 203-7055
Mailing address
2695 ROCKY MOUNTAIN AVE, STE 150, LOVELAND, CO 80538-8702
(970) 203-7050
(970) 203-7055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37927
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01620843
—
CO
05
—
118973500
—
WY
Enumeration date
11/25/2005
Last updated
03/18/2016
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