MEDICARE: DOUGLAS J SEIP MD LTD

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	207XS0106X	Orthopaedic Hand Surgery Physician	4420	NV

General Provider Information

NPI Number	:	1568486199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOUGLAS J SEIP MD LTD

Provider Business Mailing Address
First Line	:	4132 S RAINBOW BLVD
Second Line	:	#315
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3106
Country	:	US
Telephone Number	:	702-304-1911
Fax Number	:

Provider Business Practice Location Address
First Line	:	5765 S FORT APACHE RD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5625
Country	:	US
Telephone Number	:	702-304-1911
Fax Number	:	702-304-2611

Authorized Official
Title or Position	:	PHYSCIAN
Name	:	DR. DOUGLAS JOSEPH SEIP
Credential	:	M.D.
Telephone Number	:	702-304-1911

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	11/19/2007

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