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Individual

DR. CHRISTOPHER MARK SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13605 XAVIER LN, SUITE B, BROOMFIELD, CO 80020-3601
(303) 404-3376
(303) 439-9044
Mailing address
13605 XAVIER LN, SUITE B, BROOMFIELD, CO 80020-3601
(303) 404-3376
(303) 439-9044

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36147
CO
207N00000X
Dermatology Physician
DR.0036147
CO
207NS0135X
Procedural Dermatology Physician
36147
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070010405
RAILROAD MEDICARE
CO
Enumeration date
08/17/2005
Last updated
01/09/2024
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