# EASTERN NEW MEXICO FOOT & ANKLE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437695327
- **Authorized official:** DEVIN DEAN WAHLEN (PHYSICIAN/OWNER)
- **Authorized official phone:** (575) 935-3668

## Contact information

- **Practice address:** 1820 W 21ST ST, CLOVIS, NM 88101-4024
- **Practice address phone:** (208) 351-4559
- **Mailing address:** 1820 W 21ST ST, CLOVIS, NM 88101-4024
- **Mailing address phone:** (575) 935-3668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 349 | NM | Yes |

## Other

- **Enumeration date:** 01/16/2017
- **Last updated:** 05/11/2021