Organization
SUNRISE FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY WAYNE WOOD DPM (DOCTOR)
(702) 731-3338
Entity
Organization
Contact information
Practice address
4580 S EASTERN AVE STE 30, LAS VEGAS, NV 89119-6100
(702) 731-3338
(702) 731-3341
Mailing address
4580 S EASTERN AVE STE 30, LAS VEGAS, NV 89119-6100
(702) 731-3338
(702) 731-3341
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0307
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503070
—
NV
Enumeration date
05/10/2011
Last updated
04/26/2012
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