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 |