Organization
FOOT & ANKLE SURGICAL GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD TORGESEN DPM (GENERAL PARTNER)
(702) 456-3668
Entity
Organization
Contact information
Practice address
10561 JEFFREYS ST, #110, HENDERSON, NV 89052-4266
(702) 456-3668
(702) 456-6688
Mailing address
10561 JEFFREYS ST, #110, HENDERSON, NV 89052-4266
(702) 456-3668
(702) 456-6688
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
8601
NV
332B00000X
Durable Medical Equipment & Medical Supplies
38610
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2990162
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/18/2006
Last updated
02/04/2014
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