Basic Information
| Provider Information | |||||||||
| NPI: | 1902807613 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THOMAS | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9499 W CHARLESTON BLVD | ||||||||
| Address2: | STE 200 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891177147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029339393 | ||||||||
| FaxNumber: | 7029336789 | ||||||||
| Practice Location | |||||||||
| Address1: | 9499 W CHARLESTON BLVD | ||||||||
| Address2: | STE 200 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891177147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7029339393 | ||||||||
| FaxNumber: | 7029336789 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/03/2005 | ||||||||
| LastUpdateDate: | 07/12/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 5829 | NV | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.