MEDICARE: DR. MARCUS JOHN SINGEL D.P.M.

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	213E00000X	Podiatrist	9303	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

General Provider Information

NPI Number	:	1306942420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCUS JOHN SINGEL D.P.M.

Provider Business Mailing Address
First Line	:	2920 S RAINBOW BLVD
Second Line	:	110
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6245
Country	:	US
Telephone Number	:	702-367-3617
Fax Number	:	702-367-0868

Provider Business Practice Location Address
First Line	:	2920 S RAINBOW BLVD
Second Line	:	110
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6245
Country	:	US
Telephone Number	:	702-367-3617
Fax Number	:	702-367-0868

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

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	06/19/2008

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