Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 17733 | NV |
Y | 207YP0228X | Pediatric Otolaryngology | 17733 | NV |
NPI | 1396980629 |
---|---|
Provider Name | Alycia Gene Spinner |
First Address | Las Vegas, NV 89102-2309 |
Second Address | Las Vegas, NV 89102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2008 |
Last Update Date | 23/08/2018 |