Individual
EDWARD CAREY SPOON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N BUFFALO DR STE 110, LAS VEGAS, NV 89145-0397
(702) 778-4000
(702) 778-4001
Mailing address
401 N BUFFALO DR STE 110, LAS VEGAS, NV 89145-0397
(702) 778-4000
(702) 778-4001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6595
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019518
—
NV
01
—
HG730Z
MEDICARE PTAN
NV
Enumeration date
08/12/2005
Last updated
03/05/2018
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