NPI | 1649365859 |
---|---|
Entity Type | Organization |
Authorized Contact | ADA I VERA Owner 702-878-5252 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 0016) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2018-02-14 |