# STEPHANIE M PARKS DPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STEPHANIE M PARKS DPM LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356817837
- **Legal business name:** STEPHANIE M PARKS DPM LLC
- **Authorized official:** DR. STEPHANIE PARKS DPM (PHYSICIAN)
- **Authorized official phone:** (505) 299-4487

## Contact information

- **Practice address:** 500 WALTER ST NE \# 510A, ALBUQUERQUE, NM 87102-2534
- **Practice address phone:** (505) 404-9922
- **Practice address fax:** (505) 299-4487
- **Mailing address:** 500 WALTER ST NE, ALBUQUERQUE, NM 87102-2534
- **Mailing address phone:** (505) 404-9922
- **Mailing address fax:** (505) 299-4487

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2018
- **Last updated:** 04/30/2024