Individual
STEPHAN T GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2911 N TENAYA WAY, SUITE 105, LAS VEGAS, NV 89128-0464
(702) 252-8378
(702) 242-0098
Mailing address
2911 N TENAYA WAY, SUITE 105, LAS VEGAS, NV 89128-0464
(702) 252-8378
(702) 242-0098
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA733
NV
Other
Enumeration date
02/04/2009
Last updated
11/30/2009
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