| NPI | 1962901090 |
|---|---|
| Former Legal Business Name | VALENCIA ASSOCIATED PODIATRISTS |
| Entity Type | Organization |
| Authorized Contact | TOMMY GENE ROE Physician/Owner 505-565-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NM 279) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2019-02-28 |