Organization · Type 2 NPI
Stark Industries Medical
Surgical Physician Assistant · Las Vegas, NV
NPI number
1194047282
Active
Practice location
6647 Brooklyn Heights St
Las Vegas, NV 89166-8020
Fax (702) 685-6896
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1068 (NV) |
| Surgical Physician Assistant Primary | 363AS0400X | PA1068 (NV) |
Surgical Physician Assistant: Definition to come...
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About NPI 1194047282
Stark Industries Medical's National Provider Identifier is 1194047282, issued on Feb 17, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 17, 2010.