MEDICARE: HUGH S SELZNICK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0801X	Orthopaedic Trauma Physician	9199	NV

General Provider Information

NPI Number	:	1053378836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUGH S SELZNICK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 30667
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89173
Country	:	US
Telephone Number	:	702-777-2663
Fax Number	:	702-777-0030

Provider Business Practice Location Address
First Line	:	3006 S MARYLAND PKWY
Second Line	:	570
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2218
Country	:	US
Telephone Number	:	702-777-2663
Fax Number	:	702-777-0030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	11/09/2007

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