| NPI | 1093308983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MCCABE President 702-630-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2023-09-06 |