OrganizationActive
Extremity Reconstructive LLC
NPI 1285019646 · Foot & Ankle Surgery Podiatrist · North Las Vegas, NV
Provider details
- NPI number
- 1285019646
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Ira Weiner, Owner
- License
- 9205 (NV)
Practice location
1703 Civic Center Dr
Suite #3
North Las Vegas, NV 89030-7212
Phone: (702) 388-1006
Fax: (702) 388-1751
Mailing address
1703 Civic Center Dr
North Las Vegas, NV 89030-7212
Registry dates
- Enumerated
- 2015-07-28
- Last updated
- 2015-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.