OrganizationActive
Las Vegas Foot Specialist, Inc
NPI 1184632929 · Podiatrist · Las Vegas, NM
Provider details
- NPI number
- 1184632929
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Bruce Andersen, President(505) 425-9491
- License
- 163 (NM)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
109 Railroad Ave
Las Vegas, NM 87701-3853
Phone: (505) 425-9491
Fax: (505) 454-8171
Approximate (ZIP-level) locationGet directions
Mailing address
109 Railroad Ave
Las Vegas, NM 87701-3853
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2008-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.