Individual
DR. TRAVIS ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 812-2000
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0058647
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028641
KAISER COMMERCIAL NUMBER
CO
Enumeration date
04/17/2014
Last updated
06/09/2021
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