Individual
PAUL R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5542 LONGLEY LN, RENO, NV 89511-1886
(775) 321-1044
(775) 853-4277
Mailing address
5542 LONGLEY LN, RENO, NV 89511-1886
(775) 321-1044
(775) 853-4277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8731
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016315
—
NV
Enumeration date
10/05/2006
Last updated
10/28/2020
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