| NPI | 1477111482 |
|---|---|
| Doing Business As | SOUTHEAST NM PODIATRY |
| Entity Type | Organization |
| Authorized Contact | OLGA MAGEE Practice Manager 575-885-3445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2020-11-04 |