NPI | 1457403057 |
---|---|
Entity Type | Organization |
Authorized Contact | NOAH LEVINE Doctor 702-839-2010 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 0110) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2012-09-24 |