Individual
MADISON RUSSELL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 422-9438
(303) 422-9474
Mailing address
333 CEDAR ST # 3, YUSM DEPARTMENT OF ANESTHESIOLOGY, NEW HAVEN, CT 06510-3206
(203) 785-2802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR0062721
CO
390200000X
Student in an Organized Health Care Education/Training Program
59840
CT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/26/2015
Last updated
07/11/2019
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