Foot & Ankle Surgical Group, LLP

NPI #1194938936 in Boulder City, Nevada

Provider Information

NPI Number
1194938936
Entity Type
Organization
Organization Name
Foot & Ankle Surgical Group, LLP
Primary Specialty
Podiatrist - Foot & Ankle Surgery
Enumeration Date
May 8, 2007
Last Updated
Oct 6, 2009

Practice Location

Address
999 ADAMS BLVD
Address 2
#104
State
Nevada
ZIP Code
89005-2244
Phone
(702) 293-0151

Authorized Official

Name
DOUGLAS S STACEY, DPM
Title
GENERAL PARTNER
Phone
(702) 456-3668

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Podiatrist - Foot & Ankle SurgeryFoot & Ankle Surgery

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