| Doctor Name: | SCOTT L SMILEY |
| NPI Number: | 1629024591 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 24545 |
| Business Practice Address: | 1619 N Greenwood St Suite 103 Pueblo, CO - 810032655 |
| Business Phone Number: | 7195422167 |
| Business Fax Number: | 7195420320 |
| Mailing Address: | Po Box 11512, PUEBLO |
| State: | CO |
| Postal Code: | 810010512 |
| Phone Number: | 7195422167 |
| Fax Number: | 7195420320 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 03/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 24545 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |