Individual
JOSHUA M SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5187
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5187
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20A12264
CA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
20A 12264
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2010
Last updated
01/26/2026
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