Mary Elizabeth Smith DOM

NPI 1093796815 - Acupuncturist - 171100000X

NPI Details
NPI 1093796815
Gender Female
Enumeration Date 11/09/2005
Last Updated 07/03/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
4700 JEFFERSON ST NE
SUITE 100
ALBUQUERQUE NM, 87109-2136, US
Phone (505) 925-7464
Fax (505) 925-4579
Business Location
933 BRADBURY DR SE
SUITE 222
ALBUQUERQUE NM, 87106-4374, US
Phone (505) 272-3120
Fax (505) 272-8060
Toxanomy
Taxonomy Code 171100000X
License State New Mexico
License Number 679
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According to our database, Dr. Mary Elizabeth Smith DOM NPI is 1093796815, taxonomy code is 171100000X and license number is 679, license state is located at New Mexico. Mary Elizabeth Smith DOM physically located at 4700 Jefferson St Ne, Albuquerque NM, 87109-2136. NPI Number Mary Elizabeth Smith DOM has the Individual type.

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1093796815 NPI number is provided on an as is basis without warranty of any kind. 1093796815 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Elizabeth Smith DOM are for informational purposes only.