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NPI Code Detail

MEDICARE: DR. DANIEL H SMILKSTEIN MD

MEDICARE:  DR. DANIEL H SMILKSTEIN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician22551CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080167004OTHERCORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588767545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL H SMILKSTEIN MD
Provider Business Mailing Address
First Line : 300 MAIN STREET
Second Line :
City : OAK CREEK
State : CO
Zip : 80467
Country : US
Telephone Number : 970-736-8118
Fax Number : 970-736-0678
Provider Business Practice Location Address
First Line : 300 MAIN STREET
Second Line :
City : OAK CREEK
State : CO
Zip : 80467
Country : US
Telephone Number : 970-736-8118
Fax Number : 970-736-0678
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 05/17/2022

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Directions to “ DR. DANIEL H SMILKSTEIN MD” Practice Location

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