NPI | 1932337557 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA LEE DRURY Owner 505-883-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NM 242) |
Enumeration Date | 2009-06-23 |
Last Update Date | 2012-06-05 |