Individual
DENISE N SMALLWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10127 AVENIDA VISTA SOL NW, ALBUQUERQUE, NM 87114-5903
(505) 803-7246
Mailing address
10127 AVENIDA VISTA SOL NW, ALBUQUERQUE, NM 87114-5903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NM
Other
Enumeration date
07/06/2022
Last updated
12/07/2023
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