NPI | 1154595825 |
---|---|
Former Legal Business Name | HIGH DESERT FAMILY FOOT CARE |
Entity Type | Organization |
Authorized Contact | GLORIA ISABEL GERSTNER CEO/Physician 505-892-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: NM 307) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2013-05-06 |