BRIAN S SMITH

UPPER SAN JUAN HEALTH SERVICE DISTRICT

Dr BRIAN S SMITH is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2008.

Contact

UPPER SAN JUAN HEALTH SERVICE DISTRICT

95 S PAGOSA BLVD
PAGOSA SPRINGS
CO
811478329

Tel: 9707313700

BRIAN S SMITH Information

Npi 1750549390
Pac Id 4880760339
Professional Enrollment Id I20161221000335
Last Name SMITH
First Name BRIAN
Middle Name S
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UPPER SAN JUAN HEALTH SERVICE DISTRICT
Group Practice Pac Id 2769571892
Number Of Group Practice Members 12
Line 1 Street Address 95 S PAGOSA BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City PAGOSA SPRINGS
State CO
Zip Code 811478329
Phone Number 9707313700
Hospital Affiliation Ccn 1 061328
Hospital Affiliation Lbn 1 UPPER SAN JUAN HEALTH SERVICE DISTRICT
Hospital Affiliation Ccn 2 060008
Hospital Affiliation Lbn 2 SAN LUIS VALLEY HEALTH
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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