Individual
DR. CASEY ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MSC (10-5550) 1 UNIVERSITY OF NEW MEXICO, DEPT. OF INTERNAL MEDICINE, ALBUQUERQUE, NM 87131-0001
(505) 272-6331
(505) 272-0475
Mailing address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-7651
(505) 248-4088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2023-0293
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/03/2020
Last updated
01/25/2024
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