Individual
MR. MARTY LEE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2410 N FOWLER ST, HOBBS, NM 88240-2312
(575) 392-2040
(575) 392-6752
Mailing address
2410 N FOWLER ST, HOBBS, NM 88240-2312
(575) 392-2040
(575) 392-6752
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0422840
KS
208000000X
Pediatrics Physician
Primary
MD20070006
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02926369
—
NM
05
—
100126120B
—
KS
05
—
2033619828
—
MO
01
—
24709030
BCBS
MO
01
—
632400
FIRSTGUARD
—
Enumeration date
03/31/2006
Last updated
04/01/2019
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