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Contact Information

STACEY L GARRY, MD
3186 S MARYLAND PARKWAY
LAS VEGAS, NV89109
 Phone: 702-731-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Hematology

207ZH0000X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for STACEY L GARRY · (Female)

NPI Number 1821059908
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2006
Last updated 12/17/2007 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G86634
  • NV License # 6197
  • NV Medicaid 2002250H
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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