| NPI | 1972127512 |
|---|---|
| Doing Business As | STEPHANIE GONZALEZ, DPM, PA |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GONZALEZ Podiatrist/Owner 575-680-2227 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-06-23 |