Individual
MICHAEL CHILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2316 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2149
(702) 877-8600
(702) 240-8790
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 240-8847
(702) 240-8790
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
75904
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2102020
—
NV
01
—
480032403
RAILROAD MEDICARE
NV
Enumeration date
02/14/2006
Last updated
12/22/2021
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