Healthcare Provider Details

I. General information

NPI: 1689769440
Provider Name (Legal Business Name): WILLIAM B. STEINKOHL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 12/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 N GREEN VALLEY PKWY BLDG. #10-C
HENDERSON NV
89074-5885
US

IV. Provider business mailing address

7150 W SUNSET RD SUITE 201A
LAS VEGAS NV
89113-1981
US

V. Phone/Fax

Practice location:
  • Phone: 702-896-9600
  • Fax: 702-896-9606
Mailing address:
  • Phone: 702-385-4342
  • Fax: 702-385-4346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number8676
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: