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Individual

SPENCER KELLER NOORDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
68 N PECOS RD, STE A, HENDERSON, NV 89074
(702) 456-1441
Mailing address
68 N PECOS RD, STE A, HENDERSON, NV 89074-7340
(702) 456-1441

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2018
NV
213ES0000X
Sports Medicine Podiatrist
2018
NV
213ES0103X
Foot & Ankle Surgery Podiatrist
2018
NV

Other

Enumeration date
12/10/2013
Last updated
06/11/2018
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