# EASTERN PODIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastern Podiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568509016
- **Authorized official:** JEREMY W. WOOD D.P.M. (PRESIDENT)
- **Authorized official phone:** (702) 434-2023

## Contact information

- **Practice address:** 3777 S. PECOS MCLEOD, SUITE 103, LAS VEGAS, NV 89121-4265
- **Practice address phone:** (702) 434-2023
- **Practice address fax:** (702) 434-1976
- **Mailing address:** 3777 S. PECOS MCLEOD, SUITE 103, LAS VEGAS, NV 89121-4265
- **Mailing address phone:** (702) 434-2023
- **Mailing address fax:** (702) 434-1976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 0040 | NV | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 11/02/2010