Organization
EXTREMITY RECONSTRUCTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA WEINER DPM (OWNER)
(702) 388-1006
Entity
Organization
Contact information
Practice address
1703 CIVIC CENTER DR, SUITE #3, NORTH LAS VEGAS, NV 89030-7212
(702) 388-1006
(702) 388-1751
Mailing address
1703 CIVIC CENTER DR, SUITE #3, NORTH LAS VEGAS, NV 89030-7212
(702) 388-1006
(702) 388-1751
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
9205
NV
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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