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Individual

DR. JOHN J SMRCKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
6081 S QUEBEC ST, SUITE 103, ENGLEWOOD, CO 80111-4536
(303) 694-0524
(303) 694-3290
Mailing address
6081 S QUEBEC ST, SUITE 103, ENGLEWOOD, CO 80111-4536
(303) 694-0524
(303) 694-3290

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY 2163
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41501063
CO
Enumeration date
04/02/2007
Last updated
11/11/2008
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