Individual
DR. CARL BERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3777 S PECOS MCLEOD, SUITE 103, LAS VEGAS, NV 89121-4264
(702) 434-2023
(702) 434-1976
Mailing address
3777 S PECOS MCLEOD, SUITE 103, LAS VEGAS, NV 89121-4264
(702) 434-2023
(702) 434-1976
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0031
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002102887
—
NV
01
—
480011132
RAILROAD MEDICARE ID #
NV
Enumeration date
03/23/2006
Last updated
11/14/2011
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