Provider Demographics
NPI:1700088713
Name:WARREN L SMITH
Entity Type:Organization
Organization Name:WARREN L SMITH
Other - Org Name:AMERICAN BIFFY COMPANY LTD
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL MANAGER COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:702-294-0055
Mailing Address - Street 1:706 WELLS RD
Mailing Address - Street 2:
Mailing Address - City:BOULDER CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89005-1838
Mailing Address - Country:US
Mailing Address - Phone:702-294-0055
Mailing Address - Fax:702-294-0649
Practice Address - Street 1:706 WELLS RD
Practice Address - Street 2:
Practice Address - City:BOULDER CITY
Practice Address - State:NV
Practice Address - Zip Code:89005-1838
Practice Address - Country:US
Practice Address - Phone:702-294-0055
Practice Address - Fax:702-294-0649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies