Individual
RON SMOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4213 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1103
(505) 255-1090
(595) 345-5799
Mailing address
PO BOX 95708, ALBUQUERQUE, NM 87199-5708
(505) 362-8039
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
32D-0000011
NM
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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