Provider Demographics
NPI:1487844627
Name:LINDA ANN SMITH MD LLC
Entity Type:Organization
Organization Name:LINDA ANN SMITH MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-828-0404
Mailing Address - Street 1:101 HOSPITAL LOOP NE STE 106
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-2100
Mailing Address - Country:US
Mailing Address - Phone:505-828-0404
Mailing Address - Fax:505-797-2850
Practice Address - Street 1:101 HOSPITAL LOOP NE STE 106
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2100
Practice Address - Country:US
Practice Address - Phone:505-828-0404
Practice Address - Fax:505-797-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty