MEDICARE: STEVEN A HOLPER MD PC

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	261QM2500X	Medical Specialty Clinic/Center	6061	NV

General Provider Information

NPI Number	:	1306111950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN A HOLPER MD PC

Provider Business Mailing Address
First Line	:	3233 W CHARLESTON BLVD
Second Line	:	SUITE 202
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1938
Country	:	US
Telephone Number	:	702-878-3510
Fax Number	:	702-878-1405

Provider Business Practice Location Address
First Line	:	3233 W CHARLESTON BLVD
Second Line	:	SUITE 202
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1938
Country	:	US
Telephone Number	:	702-878-3510
Fax Number	:	702-878-1405

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	STEVEN A HOLPER
Credential	:	M.D.
Telephone Number	:	702-878-3510

Provider Enumeration Date	:	03/15/2012
Last Update Date	:	03/15/2012

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