FOOT & ANKLE SURGICAL GROUP LLP NPI 1194938936

NPI Information

FOOT & ANKLE SURGICAL GROUP, LLP is a foot and ankle surgery podiatrist in Boulder City, NV. FOOT & ANKLE SURGICAL GROUP, LLP NPI is 1194938936. The provider is registered as an organization entity type.
The provider Other Name Is Douglas S Stacey, Dpm.

The provider's business location address is:

999 ADAMS BLVD
#104
BOULDER CITY, NV
ZIP 89005-244
Phone: (702) 293-0151
Fax: (702) 456-6688

The provider's authorized official is Douglas S Stacey .
The authorized official title is General Partner and has the following contact phone number (702) 456-3668.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 10/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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