| Vernon M. Smith Jr, Md Pc | |
|
1805 Kipling St Lakewood CO 80215-1477 | |
| (303) 232-7660 | |
| (303) 934-7332 |
| Full Name | Vernon M. Smith Jr, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1805 Kipling St, Lakewood, Colorado |
| Authorized Official Name and Position | Vernon Smith (PRESIDENT) |
| Authorized Official Contact | 3032327660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon M. Smith Jr, Md Pc 1805 Kipling St Lakewood CO 80215-1477 Ph: (303) 232-7660 | Vernon M. Smith Jr, Md Pc 1805 Kipling St Lakewood CO 80215-1477 Ph: (303) 232-7660 |
| NPI Number | 1093998890 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 05/05/2010 |
| Medicare PECOS PAC ID | 7012991599 |
|---|---|
| Medicare Enrollment ID | O20040614000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093998890 | NPI | - | NPPES |
| CJ7189 | Other | CO | RRW MEDICARE |
| 01248608 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Vernon M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144294638 PECOS PAC ID: 0446234934 Enrollment ID: I20110418000687 |
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