Individual provider · Type 1 NPI
Ellen Anderson Smith, P.A.
Surgical Physician Assistant · Broomfield, CO
NPI number
1083731772
Active
Practice location
14093 Roaring Fork Cir
Broomfield, CO 80020-3924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 378 (CO) |
Surgical Physician Assistant: Definition to come...
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About NPI 1083731772
Ellen Anderson Smith, P.A.'s National Provider Identifier is 1083731772, issued on Mar 26, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Broomfield, CO. The record was last updated on Jan 8, 2008.