Cathy Diane Smith, MD | |
6767 West 29th Street, Greeley, CO 80634-5474 | |
(970) 350-2471 | |
Not Available |
Full Name | Cathy Diane Smith |
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Gender | Female |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 6767 West 29th Street, Greeley, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912955097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 26256 (Colorado) | Secondary |
2083X0100X | Preventive Medicine - Occupational Medicine | DR.0026256 (Colorado) | Primary |
Entity Name | Poudre Valley Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Cathy Diane Smith, MD 6767 West 29th Street, 3rd Floor, Greeley, CO 80634-5474 Ph: (970) 652-2474 | Cathy Diane Smith, MD 6767 West 29th Street, Greeley, CO 80634-5474 Ph: (970) 350-2471 |
Justin J Tingey, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 6767 29th St Fl 3, Greeley, CO 80634 Phone: 970-652-2474 Fax: 970-652-2418 | |
Dr. James Edward Rafferty, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2471 Fax: 970-350-2418 | |
Dr. John Charbonneau, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 16th St, Greeley, CO 80631 Phone: 970-350-2471 Fax: 970-350-2418 |