NPI 1164151411

Eric Eierdam

Practitioner Orthotic Fitter Las Vegas, NV

Practice location

Address: 9017 Loggers Mill Ave, Las Vegas, NV 89143-5416
Phone: (702) 286-1181

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence C53066 (NV)

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Registry record

NPI: 1164151411
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2022
Record last updated: 9 Jun 2022

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.