Individual
MRS. STACEY LYNNE GARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3186 S MARYLAND PARKWAY, LAS VEGAS, NV 89109
(702) 731-8000
Mailing address
PO BOX 98604, LAS VEGAS, NV 89193-8604
(702) 732-3441
(702) 732-2310
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
6197
NV
207ZH0000X
Hematology (Pathology) Physician
G86634
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
6197
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G86634
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002250H
—
NV
Enumeration date
03/29/2006
Last updated
12/17/2007
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