Healthcare Provider Details

I. General information

NPI: 1417925249
Provider Name (Legal Business Name): DAVID MICHAEL SNIPPER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7470 DEAN MARTIN DR STE 101
LAS VEGAS NV
89139-5944
US

IV. Provider business mailing address

1504 SILVER OAKS ST
LAS VEGAS NV
89117-1457
US

V. Phone/Fax

Practice location:
  • Phone: 702-595-6462
  • Fax:
Mailing address:
  • Phone: 702-595-6462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number6112
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number6112
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number6112
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: