| NPI | 1205133964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE D. DRAPER President/Owner 775-738-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 9903) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |