Organization
PODIATRY LV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL FAWSON DPM (OWNER)
(725) 224-2020
Entity
Organization
Contact information
Practice address
6440 SKY POINTE DR STE 140-197, LAS VEGAS, NV 89131-4047
(725) 224-2020
Mailing address
6440 SKY POINTE DR STE 140-197, LAS VEGAS, NV 89131-4047
(725) 224-2020
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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