| NPI | 1235226614 |
|---|---|
| Doing Business As | SOUTHEAST NEW MEXICO PODIATRY |
| Entity Type | Organization |
| Authorized Contact | LYLE REY FOLSOM Owner Physician 575-885-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2010-11-05 |