Individual
RICHARD B SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
603 W COUNTRY CLUB RD, ROSWELL, NM 88201-5211
(575) 622-1477
(575) 633-4023
Mailing address
603 W COUNTRY CLUB RD, ROSWELL, NM 88201
(575) 622-1477
(575) 622-4023
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
77104
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10744
—
NM
01
—
201009406
PRESBYTERIAN PROVIDER ID
NM
Enumeration date
11/07/2006
Last updated
06/30/2017
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