Individual
BROOKE FALLON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 EAST AGATE AVE, GRANBY, CO 80446
(970) 887-2179
(970) 887-9311
Mailing address
715 HORIZON DR STE 225, GRAND JUNCTION, CO 81506-8743
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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