Most Relevant Information
Provider Data
NPI Number: | 1003582024 |
Provider Name: | CALEB SETH SMITH PA |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | PA.0007625 |
Most Important Dates
Enumeration Date: | 08/19/2021 |
Last Updated: | 02/07/2024 |
Provider Practice Location
175 S UNION BLVD
COLORADO SPRINGS
CO
809103113
Practice Location Phone/Fax
Phone: | 3375509939 |
Fax: |
Provider Mailing Location
8284 TALC DR
COLORADO SPRINGS
CO
809389629
Provider Mailing Phone/Fax
Phone: | 3375509939 |
Fax: |