Individual
STEPHEN LANE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8795
(775) 445-5175
Mailing address
PO BOX 3299, CARSON CITY, NV 89702-3299
(775) 222-0042
(775) 222-0042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6526
NV
208M00000X
Hospitalist Physician
Primary
6526
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002003001
—
NV
05
—
XPY187973
—
CA
Enumeration date
06/28/2005
Last updated
08/31/2017
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