IndividualActive
Jeremy Anderson, DPM
NPI 1144714296 · Podiatrist · Las Vegas, NV
Provider details
- NPI number
- 1144714296
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 11354714-0501 (UT)
Practice location
1416 S Jones Blvd
Las Vegas, NV 89146-1231
Phone: (702) 878-1400
Fax: (888) 263-5542
Mailing address
500 Foothill Dr
Slc, UT 84148-0001
Registry dates
- Enumerated
- 2018-06-20
- Last updated
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.