IndividualActive
A Smith, PA-C, L.AC.
NPI 1871895995 · Physician Assistant · Pueblo, CO
Provider details
- NPI number
- 1871895995
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, L.AC.
- Sex
- Male
- Sole proprietor
- No
- License
- 3118 (CO)
Practice location
1600 West 24th Street
Colorado Mental Health Institute at Pueblo
Pueblo, CO 81003
Phone: (719) 761-1486
Mailing address
1600w 24th St
Pueblo, CO 81003-1411
Registry dates
- Enumerated
- 2010-11-22
- Last updated
- 2015-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.