NPI | 1063778512 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN L. HEMBREE President 505-281-7973 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NM 314) |
Enumeration Date | 2012-04-10 |
Last Update Date | 2012-04-10 |