Provider Demographics
NPI:1891343323
Name:FOOT & ANKLE SURGICAL GROUP, LLP
Entity Type:Organization
Organization Name:FOOT & ANKLE SURGICAL GROUP, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:W
Authorized Official - Last Name:TORGESEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-456-3668
Mailing Address - Street 1:10561 JEFFREYS ST STE 110
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4267
Mailing Address - Country:US
Mailing Address - Phone:702-493-6937
Mailing Address - Fax:
Practice Address - Street 1:10561 JEFFREYS ST STE 110
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4267
Practice Address - Country:US
Practice Address - Phone:702-493-6937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty