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NPI Code Detail

MEDICARE: SMITH PLASTIC SURGERY INSTITUTE

MEDICARE: SMITH PLASTIC SURGERY INSTITUTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/CenterQ07002575124008NV

General Provider Information

NPI Number : 1538415989
Entity Type Code : Organization
Provider Name (Legal Business Name) : SMITH PLASTIC SURGERY INSTITUTE
Provider Business Mailing Address
First Line : 8871 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5865
Country : US
Telephone Number : 702-838-2455
Fax Number : 702-838-7055
Provider Business Practice Location Address
First Line : 8871 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5865
Country : US
Telephone Number : 702-838-2455
Fax Number : 702-838-7055
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. LANE FIELDING SMITH
Credential : MD
Telephone Number : 702-838-2455
Provider Enumeration Date : 08/02/2012
Last Update Date : 08/02/2012

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Directions to “SMITH PLASTIC SURGERY INSTITUTE ” Practice Location

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