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Individual

BLAIR HENDERSHOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3777 PECOS MCLEOD STE 103, LAS VEGAS, NV 89121-4265
(702) 324-2713
Mailing address
3777 PECOS MCLEOD, STE 103, LAS VEGAS, NV 89121-4265
(702) 434-2023

Taxonomy

Speciality
Code
Description
License number
State
211D00000X
Podiatric Assistant
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2052
NV

Other

Enumeration date
04/21/2016
Last updated
06/17/2020
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