| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MAXWELL OMER VEST | 1043671969 | 2023-02-11 |
Maxwell Omer Vest is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043671969. Registration indicates Maxwell Omer Vest is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Surgery) (Surgery: Plastic and Reconstructive Surgery, ) (Specialist Network, ) (Surgery Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians) (Surgery, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Maxwell Omer Vest M.D. |
| Practice Office Address | 1701 W CHARLESTON BLVD STE 400 LAS VEGAS, NV US |
| Practice Office Telephone | 7026712273 |
| Practice Office Fax | 7023859399 |
| Mailing Address | 6 FIRE ROCK CT LAS VEGAS, NV 891416041 US |
| Business Telephone | 6185583221 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 6 Fire Rock Ct | Las Vegas, NV 891416041 | 6185583221 1 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 2086S0122X PRIMARY | Allopathic & Osteopathic Physicians Surgery Surgery: Plastic and Reconstructive Surgery Specialist Network Surgery Plastic and Reconstructive Surgery Allopathic & Osteopathic Physicians Surgery | 22766
NV |