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Individual

RICHARD GRAHAM SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MERCADO ST STE 100, DURANGO, CO 81301-7300
(970) 385-7977
(970) 385-6727
Mailing address
1 MERCADO ST STE 100, DURANGO, CO 81301-7300
(970) 385-7977
(970) 385-6727

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
40107
CO
207RH0003X
Hematology & Oncology Physician
94-146
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
16505
NM
05
191908
AZ
05
91941468
CO
05
T0240
UT
Enumeration date
05/23/2005
Last updated
04/01/2008
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