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Contact Information

EASTERN PODIATRY LLC
3777 S. PECOS MCLEOD
SUITE 103
LAS VEGAS, NV89121-4265
 Phone: 702-434-2023
 Fax: 702-434-1976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for EASTERN PODIATRY LLC

NPI # 1568509016
LBN Legal business name EASTERN PODIATRY LLC
Authorized official JEREMY WOOD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2007
Last updated 11/02/2010 - About 16 years ago
Identifiers
NV License # 0040
NV Other C03159 MRR
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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