# HENDERSHOT FOOT & ANKLE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306604434
- **Authorized official:** BLAIR HENDERSHOT (OWNER)
- **Authorized official phone:** (435) 669-3676

## Contact information

- **Practice address:** 3650 S EASTERN AVE STE 200, LAS VEGAS, NV 89169-3345
- **Practice address phone:** (702) 384-2544
- **Practice address fax:** (702) 384-8528
- **Mailing address:** 3650 S EASTERN AVE STE 200, LAS VEGAS, NV 89169-3345
- **Mailing address phone:** (702) 384-2544
- **Mailing address fax:** (702) 384-8528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2024
- **Last updated:** 11/06/2024