Individual
DR. PAUL MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 E ROUTT, PUEBLO, CO 81001
(719) 543-8711
(719) 543-5340
Mailing address
310 COLORADO AVE, PUEBLO, CO 81004
(719) 543-8718
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32379
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132-3799
—
CO
Enumeration date
01/23/2006
Last updated
08/19/2008
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