Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 5898 | NV |
Y | 208800000X | Urologist | 5898 | NV |
NPI | 1700879053 |
---|---|
Provider Name | Scott Avery Slavis |
First Address | Las Vegas, NV 89133-5380 |
Second Address | Las Vegas, NV 89106-4142 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 28/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2002377 | (05) | NV |
E34530 | (02) |