| NPI | 1073752127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLO VANDER WILT President/Owner 505-843-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM 099) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-05-21 |