Individual
STEVEN BRAD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-A
Contact information
Practice address
9500 MONTOMERY NE, SUITE 215, ALBUQUERQUE, NM 87111
(505) 247-4224
(505) 247-1772
Mailing address
6701 AVENIDA LA COSTA NE, ALBUQUERQUE, NM 87109-4041
(505) 823-2051
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3541
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71530274
—
NM
Enumeration date
10/10/2005
Last updated
03/16/2015
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