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NPI Code Detail

MEDICARE: WARREN J SEEDS MD

MEDICARE:   WARREN J SEEDS  MD
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
1207LA0401XAddiction Medicine (Anesthesiology) Physician9728NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578538195
Entity Type Code : Individual
Provider Name (Legal Business Name) : WARREN J SEEDS MD
Provider Business Mailing Address
First Line : 1344 CRANSTON CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-1328
Country : US
Telephone Number : 702-335-9700
Fax Number :
Provider Business Practice Location Address
First Line : 6120 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-6760
Country : US
Telephone Number : 702-948-8660
Fax Number : 702-948-9223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2006
Last Update Date : 01/23/2020

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