| NPI | 1215652870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GEPHARDT Owner, Md 702-386-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |