| 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 |