Individual
MIKAL ANN SMOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-2921
(505) 462-7333
(505) 462-7333
Mailing address
6100 PAN AMERICAN FRWY NE, ALBUQUERQUE, NM 87109
(505) 823-8282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2004-0021
NM
Other
Enumeration date
05/23/2005
Last updated
08/26/2020
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