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Individual

CASEY RAE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1329 GUSDORF RD, TAOS, NM 87571-6282
(575) 737-3415
(575) 737-3415
Mailing address
1329 GUSDORF RD, TAOS, NM 87571-6282
(575) 737-3415
(575) 737-3416

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2023-1043
NM

Other

Enumeration date
03/31/2019
Last updated
04/29/2024
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