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Organization
SOUTHWEST CENTER FOR PAIN MANAGEMENT
Active
Organization
SOUTHWEST CENTER FOR PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT THOMAS SMITH D.N. (PRESIDENT)
(847) 530-0236
Entity
Organization
Contact information
Practice address
40 FIRST PLAZA CTR NW, STE # 62, ALBUQUERQUE, NM 87102-3355
(847) 530-0236
Mailing address
PO BOX 984, BERNALILLO, NM 87004-0984
(847) 530-0236
Taxonomy
Speciality
Code
Description
License number
State
172P00000X
Naprapath
Primary
0016
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285773614
NPI TYPE 1
NM
Enumeration date
01/14/2010
Last updated
01/14/2010
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