MEDICARE: SNIPPER HEALTH MANAGEMENT LLC

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1073284550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNIPPER HEALTH MANAGEMENT LLC

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	:	CEO
Name	:	DAVID SNIPPER
Credential	:	MD
Telephone Number	:	702-595-6462

Provider Enumeration Date	:	09/23/2021
Last Update Date	:	10/15/2021

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