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COLTEN SMOUSE DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1972009116

Individual Registrant:
 COLTEN  SMOUSE DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
900 CHURCH ST  SPRINGFIELD, CO 81073-1636 US
Tel: 719-523-6628  Fax: --

Contact information for business:
373 E 10TH AVE  SPRINGFIELD, CO 81073-1699 US
Tel: 719-523-6628  Fax: 719-523-4290

Registration Information:
NPI: 1972009116
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CODR.0066584

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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