Organization
VC SMITH, J E MARTIN, NANCY DONAHOE, DEMETRI K MAVROIDIS
Active
Other names
Cardiovascular Surgery of Southern Nevada
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN PRICE MBA (PRACTICE MANAGER)
(702) 737-3808
Entity
Organization
Contact information
Practice address
5320 S RAINBOW BLVD, STE 282, LAS VEGAS, NV 89118-1895
(702) 737-3808
Mailing address
5320 S RAINBOW BLVD, STE 282, LAS VEGAS, NV 89118-1895
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
APN001394
NV
282NC0060X
Critical Access Hospital
APN001394
NV
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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