Individual
ROBERT EDWIN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
518 S 11TH ST, LOVINGTON, NM 88260-4517
(505) 396-5336
(505) 396-7291
Mailing address
518 S 11TH ST, LOVINGTON, NM 88260-4517
(505) 396-5336
(505) 396-7291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A536-69
NM
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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