Individual
JOHN S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2850 S MOJAVE RD LOT A, LAS VEGAS, NV 89121-1355
(702) 386-4700
(702) 386-4701
Mailing address
3157 N RAINBOW BLVD # 518, LAS VEGAS, NV 89108-4578
(702) 386-4700
(702) 386-4701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5392
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002959
—
NV
Enumeration date
03/24/2006
Last updated
07/21/2022
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