NPI 1285019646

Extremity Reconstructive LLC

Organisation Foot & Ankle Surgery Podiatrist North Las Vegas, NV

Practice location

Address: 1703 Civic Center Dr Suite #3, North Las Vegas, NV 89030-7212
Phone: (702) 388-1006
Fax: (702) 388-1751

Authorised official

Name: Ira Weiner
Title: Owner
Phone: (702) 388-1006

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 9205 (NV)

Other Podiatrist providers in Nevada →

Registry record

NPI: 1285019646
Entity type: Organization
NPI issued: 28 Jul 2015
Record last updated: 28 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.