Provider Demographics
NPI:1437100906
Name:STEELHAMMER, GREGORY PAGE (RPH)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:PAGE
Last Name:STEELHAMMER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7828 GALLOPING HILLS ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-3037
Mailing Address - Country:US
Mailing Address - Phone:702-636-3000
Mailing Address - Fax:702-636-3069
Practice Address - Street 1:3880 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-2456
Practice Address - Country:US
Practice Address - Phone:702-636-3000
Practice Address - Fax:702-636-3069
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV090981835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist