Healthcare Provider Details

I. General information

NPI: 1922567940
Provider Name (Legal Business Name): HARRIET ADELAIDE SMITH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HARRIET SMITH

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4507
US

IV. Provider business mailing address

PO BOX 576
GEORGETOWN CO
80444-0576
US

V. Phone/Fax

Practice location:
  • Phone: 303-436-4949
  • Fax: 303-602-9159
Mailing address:
  • Phone: 970-945-2840
  • Fax: 970-945-2893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0069123
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: