| NPI | 1225194608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L DEETZ Owner 575-523-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM NM142) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-05-14 |