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Organization

EMERGENCY PROFESSIONALS OF COLORADO, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KRISTOPHER M. SMITH (CFO)
(925) 924-1600
Entity
Organization

Contact information

Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(925) 924-1600
Mailing address
5000 HOPYARD RD, SUITE 100, PLEASANTON, CA 94588-3348
(925) 924-1600

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03324877
CO
05
19771363
CO
05
68535066
CO
05
74904264
CO
Enumeration date
03/13/2015
Last updated
01/27/2016
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