Individual
MR. RUSSELL LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
8330 E QUINCY AVE APT D212, DENVER, CO 80237-2456
(303) 741-2736
Mailing address
8330 E QUINCY AVE D212, DENVER, CO 80237-2456
(303) 741-2736
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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