Individual
ANGELA STEFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2290 MCDANIEL ST STE 1B, NORTH LAS VEGAS, NV 89030-6329
(702) 649-1980
(702) 642-2930
Mailing address
2290 MCDANIEL ST STE 1B, NORTH LAS VEGAS, NV 89030-6329
(702) 649-1980
(702) 642-2930
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13260
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03094048
—
NY
01
—
13260
NV MEDICAL LICENSE
NV
05
—
1720297641
—
NV
05
—
3810000958
—
WV
Enumeration date
05/21/2007
Last updated
01/04/2019
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