Desert Podiatry
LBN: Robert B Grzywacz Dpm A Professional Corporation
Desert Podiatry is an health care organization with primary practice located at 3221 E Warm Springs Rd , Las Vegas NV 89120-3157. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty.
Robert B Grzywacz Dpm A Professional Corporation can be contacted via phone (702) 733-7617, or through Grzywacz, Robert B via phone (702) 733-7617.
Contact Information
Primary practice address
3221 E Warm Springs Rd
Las Vegas NV 89120-3157
Phone: (702) 733-7617
Fax: (702) 733-1732
Website:
Authorized official contact:
Name: Grzywacz, Robert B Doctor of Podiatric Medicine (DPM)
Phone: (702) 733-7617
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 793965375 | Nevada |
Profile Details
| NPI number | 1053305862 |
|---|---|
| LBN Legal business name | Robert B Grzywacz Dpm A Professional Corporation |
| DBA Doing business as | Desert Podiatry |
| Authorized official | Grzywacz, Robert B Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | May 23rd, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053305862 | NPPES |
| Other | 37963 | MEDICARE SECONDARY | |
| Other | P00058662 | MEDICARE SECONDARY | |
| Other | 37963 | MEDICARE SECONDARY | |
| Other | V37962 | MEDICARE SECONDARY | |
| Other | 137141EQ | MEDICARE SECONDARY | |
| Other | V37963 | MEDICARE SECONDARY |
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