Provider Demographics
NPI:1679863542
Name:SMITH, DANIELLE ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:ANNE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2643 PATTERSON RD STE 403
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-1937
Mailing Address - Country:US
Mailing Address - Phone:970-298-7675
Mailing Address - Fax:970-298-2984
Practice Address - Street 1:2643 PATTERSON RD STE 403
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-1937
Practice Address - Country:US
Practice Address - Phone:970-298-7675
Practice Address - Fax:970-298-2984
Is Sole Proprietor?:No
Enumeration Date:2011-04-13
Last Update Date:2023-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL390200000X208G00000X
ORMD183775208G00000X
CODR.0069094208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)