Individual
ANTHONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-5504
(505) 272-1669
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
87-350
NM
208800000X
Urology Physician
Primary
87-350
NM
2088P0231X
Pediatric Urology Physician
87-350
NM
Other
Enumeration date
08/02/2006
Last updated
07/02/2012
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