Organization
HENDERSHOT FOOT & ANKLE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR HENDERSHOT (OWNER)
(435) 669-3676
Entity
Organization
Contact information
Practice address
3650 S EASTERN AVE STE 200, LAS VEGAS, NV 89169-3345
(702) 384-2544
(702) 384-8528
Mailing address
3650 S EASTERN AVE STE 200, LAS VEGAS, NV 89169-3345
(702) 384-2544
(702) 384-8528
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
11/06/2024
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