Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 44966 | CO |
NPI | 1407907785 |
---|---|
Provider Name | Andrew John Smolenski |
First Address | Centennial, CO 80112-4028 |
Second Address | Centennial, CO 80112-4028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 12/08/2013 |