Provider Demographics
NPI:1346716677
Name:HARVEY P SMITH PLLC
Entity Type:Organization
Organization Name:HARVEY P SMITH PLLC
Other - Org Name:MOUNTAIN VISTA ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN ASSISTANT CERTIFIED
Authorized Official - Prefix:MR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-376-8772
Mailing Address - Street 1:9242 CAMDEN HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-3707
Mailing Address - Country:US
Mailing Address - Phone:702-376-8772
Mailing Address - Fax:702-952-5450
Practice Address - Street 1:6301 MOUNTAIN VISTA ST STE 204
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2366
Practice Address - Country:US
Practice Address - Phone:702-445-7990
Practice Address - Fax:702-953-5450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-14
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty