Provider Demographics
NPI:1780787010
Name:SPOTTS, JOSETTE E (MD)
Entity type:Individual
Prefix:
First Name:JOSETTE
Middle Name:E
Last Name:SPOTTS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:400 N STEPHANIE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-6692
Mailing Address - Country:US
Mailing Address - Phone:702-952-3350
Mailing Address - Fax:702-952-3365
Practice Address - Street 1:1485 W WARM SPRINGS RD STE 105
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014
Practice Address - Country:US
Practice Address - Phone:702-990-6360
Practice Address - Fax:702-990-6363
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2018-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVNV6917208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVB47579Medicare UPIN