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1609584770
PHILLIP JARED SMITH
CHEYENNE, WY
NPI
1609584770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-11-08
Last Update Date
2022-11-08
Business Address
PHILLIP JARED SMITH PA-C
2030 BLUEGRASS CIR
CHEYENNE, WY 82009-7328
Phone number: 307-635-3500
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Mailing Address
PHILLIP JARED SMITH PA-C
2570 WYNTERBROOK DR
HIGHLANDS RANCH, CO 80126-4519
Phone number: 720-421-5133
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