Gephardt, Stephen
Gephardt, Stephen is an sole proprietor health care provider with primary practice located at 7220 S Cimarron Rd Ste 270 , Las Vegas NV 89113-2160. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Gephardt, Stephen can be contacted via phone (702) 912-4100.Contact Information
Primary practice address
7220 S Cimarron Rd Ste 270
Las Vegas NV 89113-2160
Phone: (702) 912-4100
Fax: (702) 912-4101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4992 | Nevada |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 46286 | Arizona |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 4992 | Nevada |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 4992 | Nevada |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 4992 | Nevada |
Profile Details
| NPI number | 1154307635 |
|---|---|
| LBN Legal business name | Gephardt, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Nov 23rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154307635 | NPPES |
| Nevada | MEDICAID | 002002813 |
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