Individual
DR. CLARK SAMUEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
660 BANNOCK ST, DENVER, CO 80204-4506
(303) 602-2574
Mailing address
660 BANNOCK ST, DENVER, CO 80204-4506
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012017704
MO
207P00000X
Emergency Medicine Physician
Primary
DR.0057191
CO
Other
Enumeration date
06/20/2012
Last updated
07/15/2016
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