Organization
EDWARD C SPOON JR MD LTD
Active
Other names
LAS VEGAS OB/GYN ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CAREY SPOON JR. MD (PRESIDENT)
(702) 382-2900
Entity
Organization
Contact information
Practice address
2010 GOLDRING AVE, 200, LAS VEGAS, NV 89106-4002
(702) 382-2900
(702) 382-1980
Mailing address
2010 GOLDRING AVE, 200, LAS VEGAS, NV 89106-4002
(702) 382-2900
(702) 382-1980
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6595
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019518
—
NV
01
—
V30374
PTAN TYPE 1
—
Enumeration date
10/25/2012
Last updated
10/25/2012
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