Individual
STEPHEN GEPHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7220 S CIMARRON RD STE 270, LAS VEGAS, NV 89113-2160
(702) 912-4100
(702) 912-4101
Mailing address
3157 N RAINBOW BLVD # 518, LAS VEGAS, NV 89108-4578
(702) 386-4700
(702) 386-4701
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4992
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
46286
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
4992
NV
208VP0000X
Pain Medicine Physician
4992
NV
208VP0014X
Interventional Pain Medicine Physician
Primary
4992
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002813
—
NV
Enumeration date
12/16/2005
Last updated
11/23/2020
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