# RIO GRANDE FOOT & ANKLE SPECIALISTS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RIO GRANDE FOOT & ANKLE SPECIALISTS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285300673
- **Legal business name:** RIO GRANDE FOOT & ANKLE SPECIALISTS
- **Authorized official:** MICHELLE DEITHLOFF (DPM)
- **Authorized official phone:** (801) 643-2921

## Contact information

- **Practice address:** 404 BRUNN SCHOOL RD, SANTA FE, NM 87505-1102
- **Practice address phone:** (505) 395-9575
- **Practice address fax:** (877) 540-1253
- **Mailing address:** 2561 S 1560 W STE B, WOODS CROSS, UT 84087-2361
- **Mailing address phone:** (801) 505-0821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2021
- **Last updated:** 01/28/2025