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NPI Code Detail

MEDICARE: STEPHEN GEPHARDT MD

MEDICARE: STEPHEN GEPHARDT 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
1207L00000XAnesthesiology Physician4992NV
2207LP2900XPain Medicine (Anesthesiology) Physician46286AZ
3207LP2900XPain Medicine (Anesthesiology) Physician4992NV
4208VP0000XPain Medicine Physician4992NV
5208VP0014XInterventional Pain Medicine Physician4992NV

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 : 1154307635
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN GEPHARDT MD
Provider Business Mailing Address
First Line : 3157 N RAINBOW BLVD # 518
Second Line :
City : LAS VEGAS
State : NV
Zip : 89108-4578
Country : US
Telephone Number : 702-386-4700
Fax Number : 702-386-4701
Provider Business Practice Location Address
First Line : 7220 S CIMARRON RD STE 270
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2160
Country : US
Telephone Number : 702-912-4100
Fax Number : 702-912-4101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 11/23/2020

Similar Medicare Providers

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Practice Location Address:
7220 S CIMARRON RD STE 270
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1790876084 — PAMELA ELAINE ALBO PAC
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Practice Fax: 702-386-4701
1942378922 — MR. DALE DELANEY PA-C
Practice Location Address:
7220 S CIMARRON RD STE 270
LAS VEGAS, NV
89113-2160
Practice Phone: 702-912-4100
Practice Fax: 702-386-4701
1134445109 — DR. ERIC JAE BRIMHALL M.D.
Practice Location Address:
7220 S CIMARRON RD STE 270
LAS VEGAS, NV
89113-2160
Practice Phone: 702-912-4100
Practice Fax:
1114274057 — DR. ADAM JOSEPH ANTFLICK D.O.
Practice Location Address:
7220 S CIMARRON RD STE 270
LAS VEGAS, NV
89113-2160
Practice Phone: 702-386-4700
Practice Fax:
1376925016 — STEPHEN A GEPHARDT MD LTD
Practice Location Address:
7220 S CIMARRON RD STE 270
LAS VEGAS, NV
89113-2160
Practice Phone: 702-912-4100
Practice Fax: 702-912-4101

Directions to “ STEPHEN GEPHARDT MD” Practice Location

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