Organization
TRICORE WEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ZANG DPM (MEDICAL DIRECTOR)
(702) 838-8558
Entity
Organization
Contact information
Practice address
8685 QUEENS BROOK CT, LAS VEGAS, NV 89129-2229
(702) 838-8558
(702) 873-6880
Mailing address
8685 QUEENS BROOK CT, LAS VEGAS, NV 89129-2229
(702) 838-8558
(702) 873-6880
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
9906
NV
Other
Enumeration date
08/12/2006
Last updated
08/22/2020
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