Individual
NEIL D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13631 COLORADO BLVD, THORNTON, CO 80602-7051
(303) 252-2960
Mailing address
380 EMPIRE RD, SUITE 200, LAFAYETTE, CO 80026-2677
(303) 926-7360
(303) 926-7359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA58200
CA
363A00000X
Physician Assistant
Primary
1366
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08734747
—
CO
Enumeration date
12/08/2006
Last updated
02/11/2025
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