| NPI | 1043730799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOUGLAS SEFCIK Owner 575-526-6103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM 372) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |