Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 8131 | NV |
NPI | 1174547798 |
---|---|
Provider Name | Dr. Nicola M Spirtos |
First Address | Las Vegas, NV 89109-2578 |
Second Address | Las Vegas, NV 89169-2578 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 22/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002016615 | (05) | NV |
A49940 | (02) |