MEDICARE: SCOTT THOMAS GABRIEL 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	208600000X	Surgery Physician	11590	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699757930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT THOMAS GABRIEL MD

Provider Business Mailing Address
First Line	:	2345 E PRATER WAY STE 207
Second Line	:
City	:	SPARKS
State	:	NV
Zip	:	89434-9634
Country	:	US
Telephone Number	:	702-853-3300
Fax Number	:	702-640-0604

Provider Business Practice Location Address
First Line	:	5320 S RAINBOW BLVD STE 302
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1896
Country	:	US
Telephone Number	:	702-853-3300
Fax Number	:	702-640-0604

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

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	06/17/2019

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Directions to “ SCOTT THOMAS GABRIEL MD” Practice Location

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