Organization
MOUNTAIN PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI SUE POLITZ DPM (PRESIDENT)
(702) 240-8038
Entity
Organization
Contact information
Practice address
653 N TOWN CENTER DR, SUITE #118, LAS VEGAS, NV 89144-0514
(702) 240-8038
(702) 363-1079
Mailing address
653 N TOWN CENTER DR, SUITE #118, LAS VEGAS, NV 89144-0514
(702) 240-8038
(702) 363-1079
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
9811
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871696369
INDIVIDUAL NPI #
NV
Enumeration date
06/25/2015
Last updated
06/25/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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