MEDICARE: STEVEN A HOLPER M.D.

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	6061	NV

General Provider Information

NPI Number	:	1477504157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN A HOLPER M.D.

Provider Business Mailing Address
First Line	:	3233 W CHARLESTON BLVD
Second Line	:	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 STE 202
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1999
Country	:	US
Telephone Number	:	702-878-3510
Fax Number	:	702-878-1405

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	03/29/2012

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