A Complete Cosmetic Surgery Center PLLC
Surgery, Plastic and Reconstructive Surgery in Las Vegas, NV. Organization (NPI-2).
NPI number1871090423
StatusActive
Last updated in NPPESApr 10, 2018
Details
- NPI
- 1871090423
- Entity type
- Organization (NPI-2)
- Legal business name
- A Complete Cosmetic Surgery Center PLLC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2018
- Last updated
- Apr 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | 7986 | NV | Yes |
Other names
- Stephen W. Gordon MD (Doing Business As)
Practice location
7710 W Sahara Ave Ste 102Las Vegas, NV 89117-2712
Phone 702-242-6900 · Fax 702-242-5107
Mailing address
7710 W Sahara Ave Ste 102Las Vegas, NV 89117-2712
Phone 702-242-6900 · Fax 702-242-5107
Authorized official
Stephen Winslow Gordon
Ceo/ Owner
7022426900
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