Individual
DARLA L STUPEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO151900
OR
207Q00000X
Family Medicine Physician
DO3262
NV
207Q00000X
Family Medicine Physician
OL20000126
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500623241
—
OR
Enumeration date
09/19/2007
Last updated
09/22/2022
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