Organization
FOOT & ANKLE SURGICAL GROUP, LLP
Active
Other names
Douglas S Stacey, DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS S STACEY DPM (GENERAL PARTNER)
(702) 456-3668
Entity
Organization
Contact information
Practice address
999 ADAMS BLVD, #104, BOULDER CITY, NV 89005-2244
(702) 293-0151
(702) 456-6688
Mailing address
129 W LAKE MEAD PKWY, #B-18, HENDERSON, NV 89015-7055
(702) 564-8022
(702) 558-1522
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
38610
NV
Other
Enumeration date
05/08/2007
Last updated
10/06/2009
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