Individual
DR. CARL JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, GRADUATE MEDICAL EDUCATION MSC11 6093, ALBUQUERQUE, NM 87131-0001
(505) 272-6225
(505) 272-5184
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2011-0570
NM
Other
Enumeration date
04/01/2009
Last updated
01/04/2021
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