| Stephen A. Smith, Md, Pc | |
|
1600 N Grand Ave Suite 120 Pueblo CO 81003-2700 | |
| (719) 545-9292 | |
| (719) 545-9191 |
| Full Name | Stephen A. Smith, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1600 N Grand Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Stephen A. Smith (PHYSICIAN) |
| Authorized Official Contact | 7195459292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen A. Smith, Md, Pc 1600 N Grand Ave Suite 120 Pueblo CO 81003-2700 Ph: (719) 545-9292 | Stephen A. Smith, Md, Pc 1600 N Grand Ave Suite 120 Pueblo CO 81003-2700 Ph: (719) 545-9292 |
| NPI Number | 1841418563 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841418563 | NPI | - | NPPES |
| FM543141 | Other | BCBS | |
| 32085346 | Medicaid | CO | |
| P00161335 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 38322 (Colorado) | Primary |
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