Individual
CHAD ERNEST SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1703 E 18TH ST, LOVELAND, CO 80538-4283
(480) 461-2409
Mailing address
1010 N COUNTRY CLUB DR, MESA, AZ 85201-3309
(480) 461-2409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1562
CO
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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