Healthcare Provider Details

I. General information

NPI: 1053722702
Provider Name (Legal Business Name): TROY S. MCARTHUR D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2014
Last Update Date: 04/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10561 JEFFREYS ST SUITE 110
HENDERSON NV
89052-4266
US

IV. Provider business mailing address

10561 JEFFREYS ST SUITE 110
HENDERSON NV
89052-4266
US

V. Phone/Fax

Practice location:
  • Phone: 702-456-3668
  • Fax: 702-456-6688
Mailing address:
  • Phone: 702-456-3668
  • Fax: 702-456-6688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2025
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: