MEDICARE: DR. DOUGLAS J SEIP 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
1	207X00000X	Orthopaedic Surgery Physician	4420	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	:	1922075498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS J SEIP MD

Provider Business Mailing Address
First Line	:	4132 S RAINBOW BLVD
Second Line	:	#315
City	:	LAS VEGAS
State	:	NV
Zip	:	89103
Country	:	US
Telephone Number	:	702-304-1911
Fax Number	:	702-304-2611

Provider Business Practice Location Address
First Line	:	5765 S FORT APACHE RD
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5625
Country	:	US
Telephone Number	:	702-304-1911
Fax Number	:	702-304-2611

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	04/10/2008

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