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Individual

TREVOR SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4600 S ULSTER ST, DENVER, CO 80337-1225
(720) 287-3093
Mailing address
4600 S ULSTER ST, DENVER, CO 80337-1225
(720) 287-3093

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
868975-011-00005
AETNA
MI
Enumeration date
11/27/2018
Last updated
11/27/2018
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