| Doctor Name: | ELLEN ANDERSON SMITH |
| NPI Number: | 1083731772 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | 378 |
| Business Practice Address: | 14093 Roaring Fork Cir Broomfield, CO - 800203924 |
| Business Phone Number: | 3034650876 |
| Business Fax Number: | |
| Mailing Address: | 14093 Roaring Fork Cir, BROOMFIELD |
| State: | CO |
| Postal Code: | 800203924 |
| Phone Number: | 3034650876 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2007 |
| NPI Last Update Date: | 01/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 378 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |