Individual provider · Type 1 NPI

Brandon Gregory Smith, PA-C

Medical Physician Assistant · Colorado Springs, CO

NPI number 1649479031 Active

Practice location

1400 E Boulder St, Suite 700
Colorado Springs, CO 80909-5533

Fax (719) 444-3771

Mailing address

2222N Nevada Ave 4007
Colorado Springs, CO 80907-6863

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-2496 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1649479031

Brandon Gregory Smith, PA-C's National Provider Identifier is 1649479031, issued on Jul 16, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Sep 14, 2015.