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Madison Elizabeth Smith

Student in an Organized Health Care Education/Training Program in Grand Junction, CO. Individual provider (NPI-1).

NPI number1174222467
StatusActive
Last updated in NPPESFeb 27, 2023

Details

NPI
1174222467
Entity type
Individual (NPI-1)
Name
Madison Elizabeth Smith
Sex
Female
Sole proprietor
No
Enumeration date
Feb 27, 2023
Certification date
Feb 26, 2023
Last updated
Feb 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program308518COYes

Practice location

1100 North Ave
Grand Junction, CO 81501-3122

Phone 719-510-6848

Mailing address

8084 Oliver Rd
Peyton, CO 80831-6089

Phone 719-510-6848

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