MEDICARE: FRASER HAND SURGERY 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	207XS0106X	Orthopaedic Hand Surgery Physician	12294	NV

General Provider Information

NPI Number	:	1164666921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRASER HAND SURGERY LLC

Provider Business Mailing Address
First Line	:	PO BOX 401357
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89140-1357
Country	:	US
Telephone Number	:	702-576-1818
Fax Number	:	702-576-1787

Provider Business Practice Location Address
First Line	:	8530 W SUNSET RD
Second Line	:	SUITE 345
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2215
Country	:	US
Telephone Number	:	702-576-1818
Fax Number	:	702-576-1787

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BONNIE J FRASER
Credential	:	MD
Telephone Number	:	702-798-3008

Provider Enumeration Date	:	04/23/2009
Last Update Date	:	02/04/2010

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Directions to “FRASER HAND SURGERY LLC ” Practice Location

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