# SUNRISE FOOT AND ANKLE LLC

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

## Provider details

- **NPI number:** 1508158536
- **Authorized official:** DR. JEREMY WAYNE WOOD DPM (DOCTOR)
- **Authorized official phone:** (702) 731-3338

## Contact information

- **Practice address:** 4580 S EASTERN AVE STE 30, LAS VEGAS, NV 89119-6100
- **Practice address phone:** (702) 731-3338
- **Practice address fax:** (702) 731-3341
- **Mailing address:** 4580 S EASTERN AVE STE 30, LAS VEGAS, NV 89119-6100
- **Mailing address phone:** (702) 731-3338
- **Mailing address fax:** (702) 731-3341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0307 | NV | Yes |

## Other

- **Enumeration date:** 05/10/2011
- **Last updated:** 04/26/2012