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NPI Code Detail

MEDICARE: DAVID GRANT STEWART JR. M.D.

MEDICARE:   DAVID GRANT STEWART JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician11337NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285602896
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID GRANT STEWART JR. M.D.
Provider Business Mailing Address
First Line : 10170 W TROPICANA AVE STE 156-252
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8465
Country : US
Telephone Number : 702-732-1493
Fax Number : 702-732-1080
Provider Business Practice Location Address
First Line : 1 BREAKTHROUGH WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-3011
Country : US
Telephone Number : 702-732-1493
Fax Number : 702-732-1080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 02/07/2023

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Directions to “ DAVID GRANT STEWART JR. M.D.” Practice Location

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