IndividualActive

Jantsen Smith

NPI 1174054415 · Critical Care Medicine (Internal Medicine) Physician · Albuquerque, NM

Provider details

NPI number: 1174054415
Entity type: Individual
Primary specialty: Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
Sex: Male
Sole proprietor: No

Critical Care Medicine (Internal Medicine) PhysicianPrimary207RC0200XLicense 036153405 (IL)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care
Internal Medicine Physician207R00000XLicense 036153405 (IL)
Allopathic & Osteopathic Physicians
Pulmonary Disease Physician207RP1001XLicense 036153405 (IL)
Allopathic & Osteopathic Physicians

Msc 10 5550

I University of New Mexico

Albuquerque, NM 87131-0001

Phone: (505) 272-4661

Approximate (ZIP-level) locationGet directions

Msc 10 5550

Albuquerque, NM 87131-0001

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.