Healthcare Provider Details

I. General information

NPI: 1720013006
Provider Name (Legal Business Name): PLON SPACCAVENTO & ASSOCIATES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7385 S PECOS RD
LAS VEGAS NV
89120-3768
US

IV. Provider business mailing address

7385 S PECOS RD
LAS VEGAS NV
89120-3768
US

V. Phone/Fax

Practice location:
  • Phone: 702-796-4278
  • Fax: 702-737-9286
Mailing address:
  • Phone: 702-796-4278
  • Fax: 27-379-2867

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number1000117650
License Number StateNV

VIII. Authorized Official

Name: DR. LEO SPACCAVENTO
Title or Position: PRESIDENT
Credential: MD
Phone: 702-796-4278