Organization
MOUNTAIN MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ANN SMITH PA-C (PHYSICIAN ASSISTANT)
(303) 596-7122
Entity
Organization
Contact information
Practice address
393 S HARLAN ST, LAKEWOOD, CO 80226-3572
(303) 596-7122
Mailing address
5534 SALVIA CT, GOLDEN, CO 80403-1118
(303) 596-7122
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1354
CO
Other
Enumeration date
12/19/2009
Last updated
11/20/2012
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