| NPI | 1508158536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY WAYNE WOOD Doctor 702-731-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NV 0307) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2012-04-26 |