Individual
SOPHIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE STE 2200, LOVELAND, CO 80538-9004
(970) 203-7250
(970) 619-6094
Mailing address
2500 ROCKY MOUNTAIN AVE STE 2200, LOVELAND, CO 80538-9004
(970) 203-7250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006618
CO
363AS0400X
Surgical Physician Assistant
PA.0006618
CO
Other
Enumeration date
01/27/2021
Last updated
08/07/2024
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