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Organization
FOOT & ANKLE ASSOCIATES INC
Active
Organization
FOOT & ANKLE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J BLAKE DPM (OWNER)
(505) 982-0123
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST STE K, SANTA FE, NM 87505-2159
(505) 982-0123
(505) 982-5714
Mailing address
2019 GALISTEO ST STE K, SANTA FE, NM 87505-2159
(505) 982-0123
(505) 982-5714
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB1437
RAILROAD MEDICARE
NM
05
—
S2159
—
NM
Enumeration date
12/06/2006
Last updated
03/17/2016
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