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Foot & Ankle Surgical Group, LLP

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

NPI number1891748471
StatusActive
Last updated in NPPESFeb 4, 2014

Details

NPI
1891748471
Entity type
Organization (NPI-2)
Legal business name
Foot & Ankle Surgical Group, LLP
Organization subpart
No
Enumeration date
May 18, 2006
Last updated
Feb 4, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle Surgery––Yes
332900000X Non-Pharmacy Dispensing Site8601NV
332B00000X Durable Medical Equipment & Medical Supplies38610NV

Practice location

10561 Jeffreys St
#110
Henderson, NV 89052-4266

Phone 702-456-3668 · Fax 702-456-6688

Mailing address

10561 Jeffreys St
#110
Henderson, NV 89052-4266

Phone 702-456-3668 · Fax 702-456-6688

Authorized official

Gerald Torgesen
General Partner
7024563668

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