NPI 1225485022

Brooke Smith

Practitioner Other Technician Gallup, NM

Practice location

Address: 304 W Wilson Ave, Gallup, NM 87301-5248
Phone: (505) 392-8988
Mailing address: PO Box 244, Church Rock, NM 87311-0244

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in New Mexico →

Registry record

NPI: 1225485022
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2016
Record last updated: 21 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.