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A COMPLETE COSMETIC SURGERY CENTER PLLC NPI 1871090423


NPI Information

NPI: 1871090423
Provider Name: A COMPLETE COSMETIC SURGERY CENTER PLLC

Doing Business As: STEPHEN W. GORDON MD

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
7710 W SAHARA AVE STE 102
LAS VEGAS, NV
ZIP 89117
Phone: (702) 242-6900
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A COMPLETE COSMETIC SURGERY CENTER PLLC is a plastic and reconstructive surgery surgery in Las Vegas, NV. The provider is a surgeon who specializes in plastic and reconstructive surgery. A COMPLETE COSMETIC SURGERY CENTER PLLC NPI is 1871090423. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stephen W. Gordon Md.

The provider's business location address is:

7710 W SAHARA AVE STE 102
LAS VEGAS, NV
ZIP 89117-712
Phone: (702) 242-6900
Fax: (702) 242-5107

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

The enumeration date for this NPI number is 4/10/2018 and was last updated on 4/10/2018.


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

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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