| NPI | 1851787097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M GARVIN Doctor Of Podiatric Medicine 505-980-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 749) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2015-07-24 |