| NPI | 1730635533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS DODSON President 575-434-0639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2022-05-16 |