Organization
FREDRICA E. SMITH, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICA E SMITH M.D. (PHYSICIAN)
(505) 662-9400
Entity
Organization
Contact information
Practice address
3917 WEST RD, SUITE D, LOS ALAMOS, NM 87544-2275
(505) 662-9400
(505) 662-3148
Mailing address
3917 WEST RD, SUITE D, LOS ALAMOS, NM 87544-2275
(505) 662-9400
(505) 662-3148
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
NM7369
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26005
—
NM
Enumeration date
12/17/2007
Last updated
12/17/2007
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