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1598850190
STEPHEN TRAVIS DERRICK STOREY
LAS VEGAS, NV
NPI
1598850190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NV 14530)
Enumeration Date
2006-10-03
Last Update Date
2014-12-11
Business Address
Mr. STEPHEN TRAVIS DERRICK STOREY MD
500 N RAINBOW BLVD
LAS VEGAS, NV 89107-1082
Phone number: 216-906-2524
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Mailing Address
Mr. STEPHEN TRAVIS DERRICK STOREY MD
500 NORTH RAINBOW BOULEVARD
LAS VEGAS, NV 89107
Phone number: 216-906-2524
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