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NPI Code Detail

MEDICARE: AARON D. SMITH MD PC

MEDICARE: AARON D. SMITH MD PC
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
12086S0122XPlastic and Reconstructive Surgery Physician48708CO

General Provider Information

NPI Number : 1760703201
Entity Type Code : Organization
Provider Name (Legal Business Name) : AARON D. SMITH MD PC
Provider Business Mailing Address
First Line : 5901 CORPORATE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1941
Country : US
Telephone Number : 520-370-7660
Fax Number :
Provider Business Practice Location Address
First Line : 5901 CORPORATE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1941
Country : US
Telephone Number : 520-370-7660
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : AARON DOUGLAS SMITH
Credential : M.D.
Telephone Number : 520-370-7660
Provider Enumeration Date : 06/18/2010
Last Update Date : 08/13/2012

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