MEDICARE: DANUTA ELIZABETH SZMIT M.D.

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
1	207L00000X	Anesthesiology Physician	0055661	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1851346993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANUTA ELIZABETH SZMIT M.D.

Provider Business Mailing Address
First Line	:	209 S MAIN ST
Second Line	:
City	:	POPLAR BLUFF
State	:	MO
Zip	:	63901-5831
Country	:	US
Telephone Number	:	573-686-5550
Fax Number	:	573-686-2139

Provider Business Practice Location Address
First Line	:	575 RIVERGATE
Second Line	:
City	:	DURANGO
State	:	CO
Zip	:	81301-7487
Country	:	US
Telephone Number	:	970-247-3537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	08/25/2016

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