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Contact Information

LAS VEGAS FOOT SPECIALIST, INC
109 RAILROAD AVE
LAS VEGAS, NM87701-3853
 Phone: 505-425-9491
 Fax: 505-454-8171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LAS VEGAS FOOT SPECIALIST, INC

NPI Number 1184632929
LBN Legal business name LAS VEGAS FOOT SPECIALIST, INC
Authorized official BRUCE ANDERSEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/04/2006
Last updated 05/07/2008 - About 18 years ago
Identifiers
NM License # 163
NM Medicaid Q2055
NM Other 5351 BC/BS
NM Other 10478 PHP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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