Individual
SANDRA JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1280 E CALVADA BLVD, PAHRUMP, NV 89048-5693
(775) 751-3377
(775) 751-2323
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 507-2430
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12357
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801912985
—
NV
Enumeration date
03/21/2007
Last updated
07/05/2011
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