Organization
PREMIER PEDIATRICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M SMITH MD (OWNER/PRESIDENT)
(303) 659-1685
Entity
Organization
Contact information
Practice address
1606 PRAIRIE CENTER PKWY, SUITE 300, BRIGHTON, CO 80601-4004
(303) 655-1685
(303) 655-1703
Mailing address
1606 PRAIRIE CENTER PKWY, SUITE 300, BRIGHTON, CO 80601-4004
(303) 655-1685
(303) 655-1703
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36279501
—
CO
Enumeration date
02/19/2007
Last updated
04/29/2016
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