# SOUTHWEST CENTER FOR PAIN MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073844049
- **Authorized official:** DR. ROBERT THOMAS SMITH D.N. (PRESIDENT)
- **Authorized official phone:** (847) 530-0236

## Contact information

- **Practice address:** 40 FIRST PLAZA CTR NW, STE \# 62, ALBUQUERQUE, NM 87102-3355
- **Practice address phone:** (847) 530-0236
- **Mailing address:** PO BOX 984, BERNALILLO, NM 87004-0984
- **Mailing address phone:** (847) 530-0236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172P00000X | Naprapath | 0016 | NM | Yes |

## Other

- **Enumeration date:** 01/14/2010
- **Last updated:** 01/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1285773614 | NPI TYPE 1 | NM |
