Individual
JEREMY S TILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2649 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4801
(702) 565-6664
(702) 565-9249
Mailing address
2649 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4801
(702) 565-6664
(702) 565-9249
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1202
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1202
NV PO LICENSE
NV
05
—
1497378517
—
NV
05
—
1689802332
—
NV
Enumeration date
07/01/2009
Last updated
02/16/2023
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