Basic Information
| Provider Information | |||||||||
| NPI: | 1821153644 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SMALDONE | ||||||||
| FirstName: | PHILIP | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 40 BURTON HILLS BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372156155 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6155651733 | ||||||||
| FaxNumber: | 6152960151 | ||||||||
| Practice Location | |||||||||
| Address1: | NH 120 COORS BREWING COMPANY | ||||||||
| Address2: | |||||||||
| City: | GOLDEN | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804010030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3032772138 | ||||||||
| FaxNumber: | 3032776915 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/22/2006 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | CO33126 | CO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.