JACOB SMITH

ALBUQUERQUE, NM
NPI1457181968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Additional Taxonomies363AM0700X Physician Assistant, Medical
Enumeration Date2024-08-07
Last Update Date2026-08-21
Business Address
JACOB SMITH
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110-5412
Phone number: 505-724-4300
Mailing Address
JACOB SMITH
2100 LOUISIANA BLVD NE STE 410
ALBUQUERQUE, NM 87110-5412
Phone number: 505-724-4300
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