Individual
MR. WALTER PAUL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
998 GRAPE ST, DENVER, CO 80220-4427
(909) 528-4703
Mailing address
998 GRAPE ST, DENVER, CO 80220-4427
(909) 528-4703
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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