Provider Demographics
NPI:1629350111
Name:CAPSAVAGE, JOHN ADAM JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ADAM
Last Name:CAPSAVAGE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:10624 S EASTERN AVE
Mailing Address - Street 2:SUITE A794
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-2982
Mailing Address - Country:US
Mailing Address - Phone:702-361-6580
Mailing Address - Fax:702-361-6580
Practice Address - Street 1:10624 S EASTERN AVE
Practice Address - Street 2:SUITE A794
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2982
Practice Address - Country:US
Practice Address - Phone:702-361-6580
Practice Address - Fax:702-361-6580
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2013-05-30
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Provider Licenses
StateLicense IDTaxonomies
NC9600153207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine