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 |