| Organization Name: | NORTHERN NEVADA FOOT & ANKLE |
| NPI Number: | 1205017654 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN P PATTON (OWNER) |
| Mailing Address: | 1775 Browning Way Ste 101 Elko |
| State: | NV US |
| Postal Code: | 898018338 |
| Phone Number: | 7757534044 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2007 |
| NPI Last Update Date: | 03/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | NV9506 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |