Doctor Name: | DR. ERIC HERBERT SMITH |
NPI Number: | 1679664130 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 225531 |
Business Practice Address: | 118 8th St Dacono, CO - 805149301 |
Business Phone Number: | 3038334885 |
Business Fax Number: | |
Mailing Address: | 118 8th St, DACONO |
State: | CO |
Postal Code: | 805149301 |
Phone Number: | 3038334885 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 05/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 225531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |