Individual
MR. MICHAEL JOHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
316 S JAMES ST, CARLSBAD, NM 88220-6228
(217) 249-4063
(575) 887-7626
Mailing address
316 S JAMES ST, CARLSBAD, NM 88220-6228
(217) 249-4063
(575) 887-7626
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R67096
NM
Other
Enumeration date
01/31/2007
Last updated
11/19/2013
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