Individual
ERIC EIERDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9017 LOGGERS MILL AVE, LAS VEGAS, NV 89143-5416
(702) 286-1181
Mailing address
9017 LOGGERS MILL AVE, LAS VEGAS, NV 89143-5416
(702) 286-1181
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C53066
NV
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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