| NPI | 1194938936 |
|---|---|
| Other Name | DOUGLAS S STACEY, DPM |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S STACEY General Partner 702-456-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 38610) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2009-10-06 |