| 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 |