NPI | 1215754700 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER B REED Owner 702-565-6641 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2024-09-25 |
Last Update Date | 2024-09-25 |