Individual
MR. STEPHEN TRAVIS DERRICK STOREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 N RAINBOW BLVD, LAS VEGAS, NV 89107-1082
(216) 906-2524
Mailing address
500 NORTH RAINBOW BOULEVARD, LAS VEGAS, NV 89107
(216) 906-2524
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14530
NV
Other
Enumeration date
10/03/2006
Last updated
12/11/2014
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