Organization
DEBRAJ SMITH M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA JEAN SMITH M.D. (PRESIDENT)
(970) 856-4306
Entity
Organization
Contact information
Practice address
2050 B SOUTH MAIN, DELTA, CO 81416
(970) 874-4473
(979) 874-8681
Mailing address
740 N GRAND MESA DR, CEDAREDGE, CO 81413-3007
(970) 856-4306
(970) 856-4359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40532
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61336319
—
CO
Enumeration date
02/13/2007
Last updated
08/22/2020
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