Individual
FREDRICA E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3917 WEST ROAD, SUITE D, LOS ALAMOS, NM 87544
(505) 662-9400
(505) 662-3148
Mailing address
3917 WEST ROAD, SUITE D, LOS ALAMOS, NM 87544
(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
01/12/2006
Last updated
06/25/2010
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