Individual
MR. STEPHEN D NOSS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
5850 W CRAIG RD, LAS VEGAS, NV 89130-2558
(702) 395-1240
Mailing address
6178 NEWVILLE AVE, LAS VEGAS, NV 89103-3212
(702) 553-8257
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT23216
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30310811
NATIONAL CERTIFICATION ID
NV
01
—
PT23216
STATE ID
NV
Enumeration date
08/11/2022
Last updated
04/22/2026
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