# FREDRICA E. SMITH, M.D.

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

## Provider details

- **NPI number:** 1619150323
- **Authorized official:** DR. FREDRICA E SMITH M.D. (PHYSICIAN)
- **Authorized official phone:** (505) 662-9400

## Contact information

- **Practice address:** 3917 WEST RD, SUITE D, LOS ALAMOS, NM 87544-2275
- **Practice address phone:** (505) 662-9400
- **Practice address fax:** (505) 662-3148
- **Mailing address:** 3917 WEST RD, SUITE D, LOS ALAMOS, NM 87544-2275
- **Mailing address phone:** (505) 662-9400
- **Mailing address fax:** (505) 662-3148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | NM7369 | NM | Yes |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 12/17/2007