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Organization
SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC
Active
Organization
SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC
Active
Other names
Southeast New Mexico Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE REY FOLSOM DPM (OWNER PHYSICIAN)
(575) 885-3445
Entity
Organization
Contact information
Practice address
1016 W PIERCE ST, CARLSBAD, NM 88220-4013
(575) 885-3445
(575) 887-0163
Mailing address
1016 W PIERCE ST, CARLSBAD, NM 88220-4013
(575) 885-3445
(575) 887-0163
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
11/05/2010
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