Organization
BOULDER FOOT & ANKLE CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY W LYON DPM (OWNER)
(702) 397-2207
Entity
Organization
Contact information
Practice address
3150 N TENAYA WAY STE 215, LAS VEGAS, NV 89128-0444
(702) 586-4600
(866) 409-1683
Mailing address
PO BOX 1344, OVERTON, NV 89040-1344
(702) 586-4600
(866) 409-1683
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
9807
NV
Other
Enumeration date
08/25/2011
Last updated
11/03/2011
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