Individual provider · NPI-1

Belmont W. Anderson, DPM

Podiatrist, Foot & Ankle Surgery · Las Vegas, NV

NPI number1194907303
StatusActive
Last updated in NPPESJan 23, 2009

Details

NPI
1194907303
Entity type
Individual (NPI-1)
Name
Belmont W. Anderson
Credential
DPM
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 29, 2007
Last updated
Jan 23, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery0051NVYes

Practice location

1416 S Jones Blvd
Las Vegas, NV 89146-1231

Phone 702-878-1400

Mailing address

1416 S Jones Blvd
Las Vegas, NV 89146-1231

Phone 702-878-1400

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