MEDICARE: DR. STEVEN H STEIN MD

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
1	207P00000X	Emergency Medicine Physician	12456	NV
2	207P00000X	Emergency Medicine Physician	0420007203	VT

General Provider Information

NPI Number	:	1053342394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN H STEIN MD

Provider Business Mailing Address
First Line	:	28 CROOKED PUTTER DRIVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5226
Country	:	US
Telephone Number	:	802-558-5266
Fax Number	:

Provider Business Practice Location Address
First Line	:	28 CROOKED PUTTER DRIVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5226
Country	:	US
Telephone Number	:	802-558-5266
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	04/25/2024

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