Organization
SUN CITY FOOT CARE
Active
Other names
Summerlin Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY LEE GUBLER D.P.M. (PRESIDENT)
(702) 256-8454
Entity
Organization
Contact information
Practice address
3320 NORTH BUFFALO DRIVE, STE 107, LAS VEGAS, NV 89129-7410
(702) 256-8454
(702) 256-0387
Mailing address
3320 NORTH BUFFALO DRIVE, STE 107, LAS VEGAS, NV 89129-7410
(702) 256-8454
(702) 256-0387
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
9804
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002102006
—
NV
01
—
1943324
UNITED HEALTH CARE
NV
01
—
480029166
RAILROAD MEDICARE
NV
01
—
7208106
AETNA
NV
01
—
CC1573
BLUE CROSS BLUE SHIELD
NV
Enumeration date
03/16/2007
Last updated
12/05/2014
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