NPI | 1871090423 |
---|---|
Doing Business As | STEPHEN W. GORDON MD |
Entity Type | Organization |
Authorized Contact | STEPHEN WINSLOW GORDON CEO/ Owner 702-242-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NV 7986) |
Enumeration Date | 2018-04-10 |
Last Update Date | 2018-04-10 |