Individual
BRIAN GOFF SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MSC 09 5040, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6607
Mailing address
1035 ALTO ST, SANTA FE, NM 87501-2406
(505) 982-4425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NM2015-074
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881951366
NPI
NM
Enumeration date
04/20/2012
Last updated
03/09/2016
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