# FOOT AND ANKLE SPECIALIST

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

## Provider details

- **NPI number:** 1588406128
- **Authorized official:** ANTHONY M RICCIARDI JR. DPM (OWNER)
- **Authorized official phone:** (702) 213-9093

## Contact information

- **Practice address:** 6120 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-6760
- **Practice address phone:** (702) 213-9093
- **Practice address fax:** (702) 483-6663
- **Mailing address:** 9056 PROCYON ST, LAS VEGAS, NV 89139-8115
- **Mailing address phone:** (702) 239-3132

## Taxonomy

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

## Other

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