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Ivan Smith

NPI 1821906629 · on the registry since 2026 · sole proprietor

Practice

Address
719 University Ave
Las Vegas, NM 87701
Phone
(505) 617-1180
Clinicians at this address
2

Registry record

Primary taxonomy
172V00000X
172V00000X
Sex
Male
Record last updated
2026-09-01

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