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Ada I Vera Dpm Ltd

Podiatrist, Foot & Ankle Surgery in Las Vegas, NV. Organization (NPI-2).

NPI number1649365859
StatusActive
Last updated in NPPESFeb 14, 2018

Details

NPI
1649365859
Entity type
Organization (NPI-2)
Legal business name
Ada I Vera Dpm Ltd
Organization subpart
No
Enumeration date
Oct 4, 2006
Last updated
Feb 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery0016NVYes

Practice location

3000 W Charleston Blvd Ste 6
Las Vegas, NV 89102-1940

Phone 702-878-5252 · Fax 702-878-1963

Mailing address

Po Box 33250
Las Vegas, NV 89133-3250

Phone 702-878-5252 · Fax 702-878-1963

Authorized official

Ada I Vera
Owner
7028785252

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