NPI 1144212085
Douglas S Stacey, DPM
Practice location
- Address
- 10561 Jeffreys St #110, Henderson, NV 89052-4266
- Phone
- (702) 456-3668
- Fax
- (702) 456-6688
Registered specialties
Foot & Ankle Surgery Podiatrist
Primary
Registry record
- NPI
- 1144212085
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Aug 2005
- Record last updated
- 3 Feb 2014
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.