Basic Information
| Provider Information | |||||||||
| NPI: | 1225122260 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SPOON, BARTHOLOMEW, & BOYD APC | ||||||||
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| OtherOrganizationName: | LAS VEGAS OB/GYN ASSOCIATES | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2010 GOLDRING AVE | ||||||||
| Address2: | 200 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891064002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023822900 | ||||||||
| FaxNumber: | 7023821980 | ||||||||
| Practice Location | |||||||||
| Address1: | 2010 GOLDRING AVE | ||||||||
| Address2: | 200 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891064002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023822900 | ||||||||
| FaxNumber: | 7023821980 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 10/08/2007 | ||||||||
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| AuthorizedOfficialLastName: | GIANNINI | ||||||||
| AuthorizedOfficialFirstName: | RICHELLE | ||||||||
| AuthorizedOfficialMiddleName: | ROSE | ||||||||
| AuthorizedOfficialTitleorPosition: | PRACTICE ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 7023822900 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.