| NPI | 1356407027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY GENE ROE Physician/Owner 505-565-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM 279) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-02-28 |