| NPI | 1760579742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H. FITZPATRICK Podiatrist 505-299-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NM 086) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2023-03-30 |