Individual
MR. STEPHEN D PANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
313 WEST ANN STREET, CARSON CITY, NV 89703
(775) 883-2202
(775) 883-0797
Mailing address
PO BOX 3797, CARSON CITY, NV 89702-3797
(775) 883-2202
(775) 883-0797
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
002
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2413300
—
NV
01
—
430000219
RAILROAD MEDICARE
—
Enumeration date
07/20/2006
Last updated
08/10/2010
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