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Organization
DESERT PODIATRY MANAGEMENT INC
Active
Organization
DESERT PODIATRY MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE EISNER (PRESIDENT)
(702) 480-1544
Entity
Organization
Contact information
Practice address
10624 S EASTERN AVE, SUITEA #423, HENDERSON, NV 89052-2982
(702) 480-1544
Mailing address
1404 S DECATUR BLVD, LAS VEGAS, NV 89102-8511
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0205
NV
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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