Doctor Name: | MICHAEL JAMES SMITH |
NPI Number: | 1215046743 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD2005-0137 |
Business Practice Address: | 4705 Montgomery Blvd Ne Albuquerque, NM - 871091226 |
Business Phone Number: | 5057274500 |
Business Fax Number: | 5057274505 |
Mailing Address: | 4505 Montgomery Blvd Ne, Suite 301 ALBUQUERQUE |
State: | NM |
Postal Code: | 87109 |
Phone Number: | 5057274500 |
Fax Number: | 5057274505 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD2005-0137 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |