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Individual

DR. ALPHONSA M STEPHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5775 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5627
(702) 450-0003
(702) 795-3306
Mailing address
5775 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5627
(702) 450-0003
(702) 795-3306

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9479
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2018555
NV
Enumeration date
06/20/2006
Last updated
03/14/2013
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