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COLTEN SMOUSE DO
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1972009116
Individual Registrant: COLTEN SMOUSE DO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
900 CHURCH ST SPRINGFIELD, CO 81073-1636 US
Tel: 719-523-6628 Fax: --
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
Tel: 719-523-6628 Fax: 719-523-4290
Registration Information:
NPI: 1972009116
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CO | DR.0066584 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
