MEDICARE: RICHARD R STERETT 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	2080P0203X	Pediatric Critical Care Medicine Physician	6653	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891710406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD R STERETT MD

Provider Business Mailing Address
First Line	:	PO BOX 371540
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89137-1540
Country	:	US
Telephone Number	:	702-383-2420
Fax Number	:	702-383-8402

Provider Business Practice Location Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:	UNIVERSITY MEDICAL CENTER
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2329
Country	:	US
Telephone Number	:	702-383-2420
Fax Number	:	702-383-8402

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/08/2007

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