| NPI | 1891748471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD TORGESEN General Partner 702-456-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NV 8601) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 38610) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-02-04 |