is a Foot & Ankle Surgery in Las Vegas, Nevada. practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for is 1841301256. The last update date is .
's current location address is 6850 N Durango Dr Ste 216, Las Vegas, Nevada. You can contact this provider via phone number 7028517287 and fax number 7022245653. The mailing address for is 6850 N Durango Dr Ste 216, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 6850 N Durango Dr Ste 216, Las Vegas, Nevada |
| Phone Number | 7028517287 |
| Fax Number | 7022245653 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1841301256 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 6850 N Durango Dr Ste 216 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891494597 |
| Phone Number | 7028517287 |
| Fax Number | 7022245653 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 2062 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202I483324 | GA | MEDICARE OF GA | |
| 273104170 | GA | HUMANA GROUP HEALTH PLANS | |
| 6489180001 | GA | RAILROAD MEDICARE (AUGUSTA, GA | |
| 273104170 | GA | COVENTRY HEALTH OF GA | |
| 1841301256 | GA | BLUE CROSS BLUE SHIELD OF GA | |
| 273104170 | GA | CIGNA | |
| 1811291149 | GA | DMERC | |
| 273104170 | GA | AETNA HEALTH PLANS |
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