person
Timothy Smith
Medical Physician Assistant in Rio Rancho, New Mexico
NPI 1467589051

Timothy Smith is a Medical Physician Assistant based in Albuquerque, NM and is specialized in Medical. Timothy Smith practices in Rio Rancho, NM. The NPI Number for Timothy Smith is 1467589051 and holds a License No. (New Mexico).

The current practice location address for Timothy Smith is 3001 Broadmoor Blvd Ne, Rio Rancho, NM and can be reached out via phone at 505-994-7422 and via fax at 505-994-7394.

Location: 3001 Broadmoor Blvd Ne, Rio Rancho, NM, 87106-4375
person
Provider Profile Details
NPI Number
1467589051
Provider Name
Timothy Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
3001 Broadmoor Blvd Ne, Rio Rancho, NM, 87106-4375
Phone Number
505-994-7422
Fax Number
505-994-7394
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3001 Broadmoor Blvd Ne
City
State
Zip
87144-2100
Phone Number
505-994-7422
Fax Number
505-994-7394
person
Provider Business Mailing Address Details
Address
3001 Broadmoor Blvd Ne
City
State
Zip
87144-2100
Phone Number
505-994-7422
Fax Number
505-994-7394
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2016-0025 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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