Individual provider · NPI-1

Derek Anders, D.P.M.

Podiatrist · Las Vegas, NV

NPI number1992742118
StatusActive
Last updated in NPPESDec 15, 2021

Details

NPI
1992742118
Entity type
Individual (NPI-1)
Name
Derek Anders
Credential
D.P.M.
Sex
Male
Sole proprietor
No
Enumeration date
May 31, 2006
Last updated
Dec 15, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X PodiatristDPM9501NVYes
213ES0000X Podiatrist, Sports MedicineDPM9501NV
213ES0131X DPM9501NV

Practice location

341 N Buffalo Dr
Ste A
Las Vegas, NV 89145-0376

Phone 702-242-3870 · Fax 702-242-3873

Mailing address

341 N Buffalo Dr
Ste A
Las Vegas, NV 89145-0376

Phone 702-242-3870 · Fax 702-242-3873

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