Individual
WARREN L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
895 ADAMS BLVD, BOULDER CITY, NV 89005-2235
(702) 293-0406
(702) 293-0192
Mailing address
895 ADAMS BLVD, BOULDER CITY, NV 89005-2235
(702) 293-0406
(702) 293-0192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NV3978
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020-02614
—
NV
Enumeration date
07/19/2005
Last updated
01/17/2013
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