Organization
SMITH CHIROPRACTIC CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JAMES SMITH DC., CCST (CHIROPRACTOR)
(575) 356-4440
Entity
Organization
Contact information
Practice address
1400 S AVE D STE A, PORTALES, NM 88130-6886
(575) 356-4440
(575) 356-4433
Mailing address
1400 S AVE D STE A, PORTALES, NM 88130-6886
(575) 356-4440
(575) 356-4433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1130
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201009423
PRESBYTERIAN
NM
01
—
350023553
RAILROAD MEDICARE
—
01
—
614457900
DEPARTMENT OF LABOR
—
01
—
NM01K995
BCBS
NM
Enumeration date
12/14/2009
Last updated
12/14/2009
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