Organization
ALPHONSA STEPHEN M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALPHONSA STEPHEN (PROVIDER)
(702) 450-0003
Entity
Organization
Contact information
Practice address
5775 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5627
(702) 450-0003
(702) 795-3306
Mailing address
5775 S FORT APACHE RD STE 110, LAS VEGAS, NV 89148-5627
(702) 450-0003
(702) 795-3306
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9479
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509681
—
NV
Enumeration date
08/21/2006
Last updated
03/14/2013
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