Smith, Richard Graham

Smith, Richard Graham is an individual health care provider with primary practice located at 1 Mercado St Ste 100 , Durango CO 81301-7300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Smith, Richard Graham can be contacted via phone (970) 385-7977.

Contact Information

Primary practice address
1 Mercado St Ste 100 Durango CO 81301-7300
Phone: (970) 385-7977
Fax: (970) 385-6727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 94-146 New Mexico
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 40107 Colorado

Profile Details

NPI number 1477556579
LBN Legal business name Smith, Richard Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Apr 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477556579 NPPES
New Mexico MEDICAID 16505
New Mexico MEDICAID 91941468
New Mexico MEDICAID T0240
New Mexico MEDICAID 191908

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