Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Sports Medicine |
207XX0005X | 02 | Physician/General Surgery |
| NPI Number | 1720590037 |
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| LBN Legal business name | MOUNTAIN VIEW FOOT AND ANKLE SPECIALISTS INC | ||||
| Authorized official | SPENCER HENINGER - (DPM/OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/26/2017 | ||||
| Last updated | 01/15/2025 - More than a year ago | ||||
| Identifiers |
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