MEDICARE: DAVID MICHAEL SNIPPER MD

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	207L00000X	Anesthesiology Physician	6112	NV
2	2083P0901X	Public Health & General Preventive Medicine Physician	6112	NV
3	207Q00000X	Family Medicine Physician	6112	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417925249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MICHAEL SNIPPER MD

Provider Business Mailing Address
First Line	:	1504 SILVER OAKS ST
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1457
Country	:	US
Telephone Number	:	702-595-6462
Fax Number	:

Provider Business Practice Location Address
First Line	:	7470 DEAN MARTIN DR STE 101
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-5944
Country	:	US
Telephone Number	:	702-595-6462
Fax Number	:

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	03/15/2024

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