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Individual

DR. WADE R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
701 E HAMPDEN AVE, #515, ENGLEWOOD, CO 80113-2736
(303) 209-2503
(303) 761-0803
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(303) 209-2503
(303) 761-0803

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36792
CO
207X00000X
Orthopaedic Surgery Physician
MD048555L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025942600
NE
05
1790888691
WY
05
18455573
CO
Enumeration date
09/06/2006
Last updated
01/27/2022
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