MEDICARE: KATHERYNE W GLANTZ 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	213ES0103X	Foot & Ankle Surgery Podiatrist	9103A	NV

General Provider Information

NPI Number	:	1962686840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHERYNE W GLANTZ LTD

Provider Business Mailing Address
First Line	:	2345 E PRATER WAY
Second Line	:	#315
City	:	SPARKS
State	:	NV
Zip	:	89434-9600
Country	:	US
Telephone Number	:	775-331-3668
Fax Number	:

Provider Business Practice Location Address
First Line	:	2345 E PRATER WAY
Second Line	:	#315
City	:	SPARKS
State	:	NV
Zip	:	89434-9600
Country	:	US
Telephone Number	:	775-331-3668
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KATHERYNE W GLANTZ
Credential	:	DPM
Telephone Number	:	775-331-3668

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	06/25/2008

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