Individual
TRICIA L SMIKAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2121 E HARMONY RD, SUITE 170, FORT COLLINS, CO 80528-3413
(970) 495-7421
(970) 493-3528
Mailing address
2121 E HARMONY RD, SUITE 170, FORT COLLINS, CO 80528-3413
(970) 495-7421
(970) 493-3528
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95183779
—
CO
Enumeration date
11/22/2005
Last updated
03/17/2016
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