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Individual

IAN ANDREW SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9811 W CHARLESTON BLVD STE 2-641, LAS VEGAS, NV 89117-7528
(855) 864-4322
Mailing address
10 HOLLY HILL RD, DOTHAN, AL 36305-1101
(334) 200-4400

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
AL

Other

Enumeration date
12/09/2025
Last updated
12/09/2025
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