Organization
SMITH CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SMITH JR. D.O. (DOCTOR)
(505) 396-5336
Entity
Organization
Contact information
Practice address
518 S 11TH ST, LOVINGTON, NM 88260-4517
(505) 396-5336
(505) 396-7291
Mailing address
518 S 11TH ST, LOVINGTON, NM 88260-4517
(505) 396-5336
(505) 396-7291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A53669
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44982
—
NM
01
—
NM004499
BCBS
NM
Enumeration date
11/29/2007
Last updated
11/29/2007
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