MEDICARE: G MARK SYLVAIN MD CHTD

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	207XX0801X	Orthopaedic Trauma Physician	NV8092	NV

General Provider Information

NPI Number	:	1356501217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G MARK SYLVAIN MD CHTD

Provider Business Mailing Address
First Line	:	1050 RANCHO CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-4623
Country	:	US
Telephone Number	:	702-388-1008
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 S TONOPAH DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-4030
Country	:	US
Telephone Number	:	702-388-1008
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. GERALD MARK SYLVAIN
Credential	:	MD
Telephone Number	:	702-388-1008

Provider Enumeration Date	:	06/13/2008
Last Update Date	:	06/13/2008

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