MEDICARE: DR. ROBERT N. STITT 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	207V00000X	Obstetrics & Gynecology Physician	3899	NV
2	207V00000X	Obstetrics & Gynecology Physician	MD-8732	HI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	PTAN V105910	OTHER	NV	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	328729	OTHER	AZ	AHCCCS
3	0000203190	OTHER	HI	HMSA BILLING NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477654325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT N. STITT MD

Provider Business Mailing Address
First Line	:	1701 W CHARLESTON BLVD
Second Line	:	215
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2325
Country	:	US
Telephone Number	:	702-671-2395
Fax Number	:	702-382-5388

Provider Business Practice Location Address
First Line	:	2231 W CHARLESTON BLVD
Second Line	:	2ND FLOOR
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2254
Country	:	US
Telephone Number	:	702-383-2403
Fax Number	:	702-383-1837

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	06/24/2008

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Directions to “ DR. ROBERT N. STITT MD” Practice Location

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