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NPI Code Detail

MEDICARE: MR. STEPHEN D NOSS JR. CPHT

MEDICARE: MR. STEPHEN D NOSS JR. CPHT
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
1183700000XPharmacy TechnicianPT23216NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT23216OTHERNVSTATE ID
230310811OTHERNVNATIONAL CERTIFICATION ID

General Provider Information

NPI Number : 1477281053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN D NOSS JR. CPHT
Provider Business Mailing Address
First Line : 6178 NEWVILLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3212
Country : US
Telephone Number : 702-553-8257
Fax Number :
Provider Business Practice Location Address
First Line : 5850 W CRAIG RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89130-2558
Country : US
Telephone Number : 702-395-1240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2022
Last Update Date : 04/22/2026

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