Las Vegas Foot Specialist, INC

NPI #1184632929 in Las Vegas, New Mexico

Provider Information

NPI Number: 1184632929
Entity Type: Organization
Organization Name: Las Vegas Foot Specialist, INC
Primary Specialty: Podiatrist
Enumeration Date: Aug 4, 2006
Last Updated: May 7, 2008

Practice Location

Address: 109 RAILROAD AVE
City: Las Vegas
State: New Mexico
ZIP Code: 87701-3853
Phone: (505) 425-9491

Authorized Official

Name: BRUCE A ANDERSEN, DPM
Title: PRESIDENT
Phone: (505) 425-9491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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