Most Relevant Information
Provider Data
NPI Number: | 1003033424 |
Provider Name: | BRANDI D SMALLEY |
Entity Type: | Individual |
Taxonomy Code: | 208D00000X |
Specialty: | General Practice |
License Number: | 128925 |
Most Important Dates
Enumeration Date: | 04/19/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
280 EXEMPLA CIR
LAFAYETTE
CO
800263370
Practice Location Phone/Fax
Phone: | 3037435855 |
Fax: |
Provider Mailing Location
12522 ALCOTT ST
BROOMFIELD
CO
800203850
Provider Mailing Phone/Fax
Phone: | 7208871160 |
Fax: |