Individual
STEVEN KEITA NISHIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., PH.D.
Contact information
Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
SL0878
NV
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
DO2388
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO2388
NV MEDICAL LICENSE
NV
Enumeration date
05/21/2012
Last updated
03/27/2019
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