NPI 1720464787 · live from the CMS NPI Registry
Zachary Anderson, DPM
Podiatrist in Las Vegas, NV. National Provider Identifier 1720464787, active.
NPI record
| NPI | 1720464787 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 1416 S Jones Blvd, Las Vegas, NV 89146 |
| Practice phone | 702-878-1400 |
| Mailing address | 1041 W Jordan Walk Way Apt 106, Midvale, UT 84047 |
| Enumerated | July 31, 2015 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Podiatrist primary | 213E00000X | 2037 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.