Individual
BRIAN SHAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-3707
Mailing address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-2226
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
901707
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0993063-CRNA
CO
Other
Enumeration date
05/30/2008
Last updated
09/09/2019
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