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STEPHEN W GORDON MD PLLC NPI 1740767102


NPI Information

NPI: 1740767102
Provider Name: STEPHEN W GORDON MD, PLLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
9101 W SAHARA AVE # 105-54
LAS VEGAS, NV
ZIP 89117
Phone: (702) 242-6900
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STEPHEN W GORDON MD, PLLC is a plastic and reconstructive surgery surgery in Las Vegas, NV. The provider is a surgeon who specializes in plastic and reconstructive surgery. STEPHEN W GORDON MD, PLLC NPI is 1740767102. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9101 W SAHARA AVE # 105-54
LAS VEGAS, NV
ZIP 89117-772
Phone: (702) 242-6900
Fax: (702) 242-5107

The provider's authorized official is Stephen Winslow Gordon .
The authorized official title is Managing Member and has the following contact phone number (702) 242-6900.

The enumeration date for this NPI number is 7/27/2018 and was last updated on 7/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery7986NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E0351002018-8OTHERNEVADAENTITY #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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