Healthcare Provider Details

I. General information

NPI: 1851340277
Provider Name (Legal Business Name): ROBERT FRITZ SMITH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COOK ST STE 302
DENVER CO
80206-5339
US

IV. Provider business mailing address

2695 ROCKY MOUNTAIN AVE STE 150
LOVELAND CO
80538-9071
US

V. Phone/Fax

Practice location:
  • Phone: 720-516-9425
  • Fax: 720-516-9453
Mailing address:
  • Phone: 970-624-4123
  • Fax: 970-490-4173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberDR.0061045
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: