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 |