| Doctor Name: | STEPHEN BERNARD ANDRACKI |
| NPI Number: | 1598708901 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 5764 |
| Business Practice Address: | 1501 E Calvada Blvd Pahrump, NV - 890485807 |
| Business Phone Number: | 7757275509 |
| Business Fax Number: | 7757275696 |
| Mailing Address: | Po Box 98978, LAS VEGAS |
| State: | NV |
| Postal Code: | 891938978 |
| Phone Number: | 7025072430 |
| Fax Number: | 7026716883 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 12/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5764 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |