Individual
DR. STEPHEN PACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2527 WILDBROOK AVE, NORTH LAS VEGAS, NV 89086-1548
(725) 222-0807
(707) 666-6480
Mailing address
3500 POSNER BLVD # 1277, DAVENPORT, FL 33837-3640
(725) 222-0807
(707) 666-6480
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
22027
NV
207L00000X
Anesthesiology Physician
A201373
CA
207L00000X
Anesthesiology Physician
Primary
ME147091
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22027
MEDICAL BOARD
NV
01
—
62203
MEDICAL BOARD
TN
01
—
87013
MEDICAL BOARD
GA
01
—
ME147091
MEDICAL BOARD
FL
Enumeration date
03/20/2017
Last updated
09/26/2025
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