Organization
STEPHEN W GORDON MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN WINSLOW GORDON MD (MANAGING MEMBER)
(702) 242-6900
Entity
Organization
Contact information
Practice address
9101 W SAHARA AVE # 105-54, LAS VEGAS, NV 89117-5772
(702) 242-6900
(702) 242-5107
Mailing address
9101 W SAHARA AVE # 105-54, LAS VEGAS, NV 89117-5772
(702) 242-6900
(702) 242-5107
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
7986
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E0351002018-8
ENTITY #
NV
Enumeration date
07/27/2018
Last updated
07/27/2018
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