Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A103131 | CA |
N | 208600000X | Surgeon | A103131 | CA |
Y | 2086S0127X | Trauma Surgeon | 14849 | NV |
NPI | 1073762589 |
---|---|
Provider Name | Dr. Paul Joseph Chestovich |
First Address | Las Vegas, NV 89102-2325 |
Second Address | Las Vegas, NV 89102-2351 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2008 |
Last Update Date | 22/12/2014 |