Individual
JONATHAN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC W/ PT
Contact information
Practice address
225 E IDAHO AVE STE 30, LAS CRUCES, NM 88005-3242
(575) 644-0238
Mailing address
3850 E LOHMAN AVE, SUITE 100, LAS CRUCES, NM 88011-8288
(575) 521-0793
(575) 532-1607
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1961
NM
Other
Enumeration date
10/19/2006
Last updated
01/30/2018
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