| Doctor Name: | BENJAMIN ALEXANDER HART |
| NPI Number: | 1326002510 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 6183 |
| Business Practice Address: | 1524 Pinto Ln Las Vegas, NV - 891064195 |
| Business Phone Number: | 7013833999 |
| Business Fax Number: | 7023836243 |
| Mailing Address: | 1970 S Miller Ln, LAS VEGAS |
| State: | NV |
| Postal Code: | 891171913 |
| Phone Number: | 7022556602 |
| Fax Number: | 7023836243 |
| NPI Enumeration Date: | 04/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 6183 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |