Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 33832 | CO |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 33832 | CO |
NPI | 1285662528 |
---|---|
Provider Name | Dr. Samuel E Smith |
First Address | Denver, CO 80204-4507 |
Second Address | Denver, CO 80204-4507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01338326 | (05) | CO |
E46508 | (02) | CO |