Individual
CHAD A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110-5412
(505) 724-4384
(505) 724-4384
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 713-1779
(513) 854-9921
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36.004088
OH
213E00000X
Podiatrist
POD2024-0004
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
36.004088
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD2024-0004
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019202
—
OH
05
—
19053223
—
NM
Enumeration date
06/09/2019
Last updated
08/05/2024
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