Healthcare Provider Details

I. General information

NPI: 1508067638
Provider Name (Legal Business Name): SHER INSTITUTE FOR REPRODUCTIVE MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 04/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 S MARYLAND PKWY SUITE 302
LAS VEGAS NV
89109-2307
US

IV. Provider business mailing address

5320 S RAINBOW BLVD SUITE 300
LAS VEGAS NV
89118-1840
US

V. Phone/Fax

Practice location:
  • Phone: 702-794-0073
  • Fax: 702-696-0554
Mailing address:
  • Phone: 702-794-0073
  • Fax: 702-696-0554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number3704
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number3704
License Number StateNV

VIII. Authorized Official

Name: DR. GEOFFREY SHER
Title or Position: DOCTOR
Credential: MD
Phone: 702-794-0073