Search › New Mexico › 207RC0200X
Jantsen Smith
NPI 1174054415 · on the registry since 2017
Practice
- Address
- Msc 10 5550
I University Of New Mexico
Albuquerque, NM 87131 - Phone
- (505) 272-4661
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 207RC0200X
207RC0200X
- Also registered as
- 390200000X
207R00000X
207RP1001X - Licence states on file
- NM, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico