| NPI | 1841790318 |
|---|---|
| Doing Business As | SPENCER NOORDA |
| Entity Type | Organization |
| Authorized Contact | SPENCER NOORDA Owner 702-456-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 2018) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NV 2018) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NV 2018) | |
| 213ER0200X Podiatrist, Radiology (Licence: NV 2018) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NV 2018) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NV 2018) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |