Search › Colorado › 363AS0400X
Paul Smith, PA-C
NPI 1396835351 · on the registry since 2006
Practice
- Address
- 1401 Court St
Pueblo, CO 81003 - Phone
- (719) 562-2300
- Fax
- (719) 562-2095
- Organisation at this address
- Poudre Valley Medical Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 4407 E Lohman Ave, Las Cruces, NM
- 1350 Hickory St, Melbourne, FL
- 3640 Nw Samaritan Dr Ste 120, Corvallis, OR
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
363AS0400X
363AS0400X
363A00000X
363AS0400X - Licence states on file
- CO, OR, FL, WA, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado