Organization
MOUNTAIN PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODI S POLITZ PDM (OWNER)
(702) 240-8038
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR STE 118, LAS VEGAS, NV 89144-0515
(702) 240-8038
(702) 240-2256
Mailing address
653 N TOWN CENTER DR STE 118, LAS VEGAS, NV 89144-0515
(702) 240-8038
(702) 240-2256
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
9811
NV
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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