Individual
JOSEPH M. SMITH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490B W ZIA RD, SUITE A, SANTA FE, NM 87505-6996
(505) 995-8346
(505) 995-8345
Mailing address
19420 N 59TH AVE, SUITE B233, GLENDALE, AZ 85308-6894
(623) 234-2542
(623) 234-2543
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
93154
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700521083
MEDICARE GROUP NUMBER
—
Enumeration date
05/19/2006
Last updated
06/11/2012
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