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Organization
STEPHEN A GEPHARDT MD LTD
Active
Organization
STEPHEN A GEPHARDT MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GEPHARDT (OWNER, MD)
(702) 386-4700
Entity
Organization
Contact information
Practice address
825 N GIBSON RD STE 420, HENDERSON, NV 89011-1708
(702) 912-4100
(702) 912-4101
Mailing address
PO BOX 30102, SALT LAKE CITY, UT 84130-0102
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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