Ivan Lee Goldsmith MD

NPI 1073614095 - Internal Medicine - 207R00000X

NPI Details
NPI 1073614095
Gender Male
Enumeration Date 09/25/2006
Last Updated 08/06/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
5375 S FORT APACHE RD
#102-103
LAS VEGAS NV, 89148-7623, US
Phone (702) 367-0808
Fax (702) 367-1339
Business Location
5375 S FORT APACHE RD
#102-103
LAS VEGAS NV, 89148-7623, US
Phone (702) 646-9444
Fax (702) 646-9022
Toxanomy
Taxonomy Code 207R00000X
License State Nevada
License Number 6116
Remove 1073614095 NPI Number
 

According to our database, Dr. Ivan Lee Goldsmith MD NPI is 1073614095, taxonomy code is 207R00000X and license number is 6116, license state is located at Nevada. Ivan Lee Goldsmith MD physically located at 5375 S Fort Apache Rd, Las Vegas NV, 89148-7623. NPI Number Ivan Lee Goldsmith MD has the Individual type.

Sponsored links

1073614095 NPI number is provided on an as is basis without warranty of any kind. 1073614095 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Lee Goldsmith MD are for informational purposes only.