MEDICARE: BELMONT W. ANDERSON DPM LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	0051	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982678462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELMONT W. ANDERSON DPM LTD

Provider Business Mailing Address
First Line	:	1416 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1231
Country	:	US
Telephone Number	:	702-878-1400
Fax Number	:	702-878-6300

Provider Business Practice Location Address
First Line	:	1416 S JONES BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-1231
Country	:	US
Telephone Number	:	702-878-1400
Fax Number	:	702-878-6300

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BELMONT WILLIAM ANDERSON
Credential	:	DPM
Telephone Number	:	702-878-1400

Provider Enumeration Date	:	02/14/2006
Last Update Date	:	06/17/2009

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