Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | MD014592E | PA |
NPI | 1407806466 |
---|---|
Provider Name | Dr. Victoria T Smith |
First Address | North Las Vegas, NV 89036-8108 |
Second Address | Las Vegas, NV 89109-2578 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 08/07/2007 |