Individual
DR. JEFFREY L. HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5871 W. CRAIG RD., LAS VEGAS, NV 89130-2575
(702) 724-2020
(702) 724-2800
Mailing address
5840 W. CRAIG RD., STE. 120 PMB# 254, LAS VEGAS, NV 89130-2562
(702) 724-2020
(702) 724-2800
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
041172
CT
207W00000X
Ophthalmology Physician
Primary
14801
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001411727
—
CT
05
—
004235900
—
CT
05
—
1083672539
—
NV
01
—
P00034183
RR MEDICARE
CT
Enumeration date
05/03/2006
Last updated
08/12/2015
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