Individual
DR. MITCHELL T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
46489
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0046489
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028944
KAISER COMMERCIAL NUMBER
CO
05
—
60702737
—
CO
Enumeration date
01/26/2007
Last updated
06/14/2021
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