Individual
NOAH WALLACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 W CHARLESTON BLVD STE 490, LAS VEGAS, NV 89102-2309
(702) 671-2273
Mailing address
4700 LAS VEGAS BLVD N, LAS VEGAS, NV 89191-6600
(702) 671-2273
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DR.0075924
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
DR.0075924
CO
Other
Enumeration date
03/19/2024
Last updated
03/17/2026
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