Whalio Doctors

NPI 1093849820

Stephen Winslow Gordon, MD

Practitioner Plastic Surgery Physician Las Vegas, NV

Practice location

Address
3186 S Maryland Pkwy, Las Vegas, NV 89109
Phone
(706) 863-9595
Fax
(706) 868-8375
Mailing address
PO Box 12357, Augusta, GA 30914-2357

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 7986 (NV)

Registry record

NPI
1093849820
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Mar 2007
Record last updated
11 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.