Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 50149 | CO |
Y | 2080P0208X | Pediatric Infectious Diseases | 50149 | CO |
NPI | 1114191202 |
---|---|
Provider Name | Dr. Christiana Elizabeth Smith-Anderson |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2008 |
Last Update Date | 26/10/2018 |