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Individual

DR. EMILY ANNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13945 S VIRGINIA ST STE 632, RENO, NV 89511-8930
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # MSM-14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7125
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11041864
CAQH
05
1437244753
NV
Enumeration date
10/03/2006
Last updated
01/12/2021
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