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Individual

ELIZABETH M SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
5802 WRIGHT DR, LOVELAND, CO 80538-8806
(970) 212-0517
Mailing address
1320 SUNFLOWER DR, FORT COLLINS, CO 80521-7577
(970) 286-8003

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
03868067
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03868067
ASCP
Enumeration date
10/12/2022
Last updated
10/12/2022
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