| NPI | 1285019646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA WEINER Owner 702-388-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 9205) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |