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NPI Code Detail

MEDICARE: PLON SPACCAVENTO & ASSOCIATES, LTD

MEDICARE: PLON SPACCAVENTO & ASSOCIATES, LTD
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
1207RI0011XInterventional Cardiology Physician1000117650NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1VWJBKFOTHERNVPTAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720013006
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLON SPACCAVENTO & ASSOCIATES, LTD
Provider Business Mailing Address
First Line : 7385 S PECOS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3768
Country : US
Telephone Number : 702-796-4278
Fax Number : 27-379-2867
Provider Business Practice Location Address
First Line : 7385 S PECOS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3768
Country : US
Telephone Number : 702-796-4278
Fax Number : 702-737-9286
Authorized Official
Title or Position : PRESIDENT
Name : DR. LEO SPACCAVENTO
Credential : MD
Telephone Number : 702-796-4278
Provider Enumeration Date : 07/12/2006
Last Update Date : 04/15/2025

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Directions to “PLON SPACCAVENTO & ASSOCIATES, LTD ” Practice Location

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