| NPI | 1225569528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT BECK Owner/Doctor 702-300-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 0904) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2019-09-11 |