Organization
THE FOOT & ANKLE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENT L DAVIS (ADMINISTRATOR)
(435) 628-2671
Entity
Organization
Contact information
Practice address
340 FALCON RIDGE PKWY, BUILDING 300, SUITE A, MESQUITE, NV 89027-8850
(702) 346-7678
(702) 346-1623
Mailing address
340 FALCON RIDGE PKWY, BUILDING 300, SUITE A, MESQUITE, NV 89027-8850
(702) 346-7678
(702) 346-1623
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
78902GR
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506164
—
NV
01
—
NV2504
BCBS FEDERAL
NV
Enumeration date
08/07/2008
Last updated
01/27/2020
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