NPI | 1205973401 |
---|---|
Former Legal Business Name | SHARON WALSTON FOOT AND ANKLE SPECIALIST, LLC |
Entity Type | Organization |
Authorized Contact | SHARON WALSTON KOBOS Podiatrist 505-881-8081 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: NM 291) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2010-11-15 |