# VC SMITH, J E MARTIN, NANCY DONAHOE, DEMETRI K MAVROIDIS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cardiovascular Surgery of Southern Nevada
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598001786
- **Authorized official:** MR. KEVIN PRICE MBA (PRACTICE MANAGER)
- **Authorized official phone:** (702) 737-3808

## Contact information

- **Practice address:** 5320 S RAINBOW BLVD, STE 282, LAS VEGAS, NV 89118-1895
- **Practice address phone:** (702) 737-3808
- **Mailing address:** 5320 S RAINBOW BLVD, STE 282, LAS VEGAS, NV 89118-1895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | APN001394 | NV | Yes |
| 282NC0060X | Critical Access Hospital | APN001394 | NV | — |

## Other

- **Enumeration date:** 12/17/2012
- **Last updated:** 12/17/2012