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Contact Information

STACIE L RIVERS, MD
6795 EDMOND ST
SUITE 210
LAS VEGAS, NV89118-3505
 Phone: 702-524-2928
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for STACIE L RIVERS · (Female)

NPI # 1144490905
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2008
Last updated 03/08/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 5243
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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