| NPI | 1568509016 |
|---|---|
| Doing Business As | EASTERN PODIATRY |
| Entity Type | Organization |
| Authorized Contact | JEREMY W. WOOD President 702-434-2023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 0040) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-11-02 |