| NPI | 1134390073 |
|---|---|
| Other Name | GARY PRANT DPM |
| Entity Type | Organization |
| Authorized Contact | GARY D PRANT Podiatrist Owner 505-299-4487 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2023-03-30 |