Individual
DR. JOHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S. , D.O.M.
Contact information
Practice address
251 LOWER LAS COLONIAS RD., EL PRADO, NM 87529
(505) 758-2038
Mailing address
4396 NDCBU, TAOS, NM 87571-6016
(505) 758-2038
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
#028
NM
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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