OrganizationActive
Foot & Ankle Surgical Group, LLP
NPI 1194938936 · Foot & Ankle Surgery Podiatrist · Boulder City, NV
Provider details
- NPI number
- 1194938936
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Douglas Stacey, General Partner(702) 456-3668
- License
- 38610 (NV)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Suppliers
Practice location
999 Adams Blvd
#104
Boulder City, NV 89005-2244
Phone: (702) 293-0151
Fax: (702) 456-6688
Approximate (ZIP-level) locationGet directions
Mailing address
129 W Lake Mead Pkwy
Henderson, NV 89015-7055
Other names (DBA / former)
- Other name
- Douglas S Stacey, DPM
Registry dates
- Enumerated
- 2007-05-08
- Last updated
- 2009-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.