NPI | 1982994778 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTI KAMINSKY Owner 702-233-7979 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NV 0902) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2020-03-27 |