MEDICARE: DAVID M FADELL D.O.

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	207XS0106X	Orthopaedic Hand Surgery Physician	996	NV
2	207X00000X	Orthopaedic Surgery Physician	996	NV

General Provider Information

NPI Number	:	1992714430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID M FADELL D.O.

Provider Business Mailing Address
First Line	:	9321 W SUNSET RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4845
Country	:	US
Telephone Number	:	702-645-7800
Fax Number	:	702-650-0865

Provider Business Practice Location Address
First Line	:	1617 E WINDMILL LN STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-1933
Country	:	US
Telephone Number	:	702-645-7800
Fax Number	:

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/20/2023

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Directions to “ DAVID M FADELL D.O.” Practice Location

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