Organization
BRADLEY W. SMITH, D.O., PLLC
Active
Parent organization
BRADLEY W SMITH D.O., PLLC
Other names
Dream Sleep Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRADLEY W SMITH D.O., PLLC
Authorized official
DR. BRADLEY W SMITH DO (MEDICAL DIRECTOR)
(719) 252-3578
Entity
Organization
Contact information
Practice address
1710 JET STREAM DR STE 215, COLORADO SPRINGS, CO 80921-3937
(719) 546-6300
(719) 546-6111
Mailing address
44 BRIARGATE TER, PUEBLO, CO 81001-1743
(719) 252-3578
(719) 546-6111
Taxonomy
Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21159335
—
CO
Enumeration date
05/20/2024
Last updated
05/20/2024
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