| NPI | 1124809066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HAAG Owner/Podiatrist 505-787-9035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2024-08-23 |