Smith, Damon Earl
Smith, Damon Earl is an individual health care provider with primary practice located at 10463 Park Meadows Dr Ste 114 , Lone Tree CO 80124-5317. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Smith, Damon Earl can be contacted via phone (303) 733-8848.Contact Information
Primary practice address
10463 Park Meadows Dr Ste 114
Lone Tree CO 80124-5317
Phone: (303) 733-8848
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G72842 | California |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | G72842 | California |
Profile Details
| NPI number | 1760480123 |
|---|---|
| LBN Legal business name | Smith, Damon Earl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Oct 6th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760480123 | NPPES |
| California | MEDICAID | 00G728420 | |
| California | Other | DR.0066431 | |
| California | Other | G72842 |
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