Individual
STEFAN NATHAN CHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 LA CANADA ST STE 217, LAS VEGAS, NV 89169-2579
(702) 369-7152
(702) 369-7153
Mailing address
3131 LA CANADA ST STE 217, LAS VEGAS, NV 89169-2579
(702) 369-7152
(702) 369-7153
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11562
NV
2086S0102X
Surgical Critical Care Physician
11562
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507449
—
NV
05
—
975089
—
AZ
05
—
XPY205017
—
CA
Enumeration date
03/17/2006
Last updated
04/10/2020
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