Organization
NORTHERN NEW MEXICOORTHOPAEDIC CENTER,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE K AUGE II M.D. (PRESIDENT)
(505) 747-4144
Entity
Organization
Contact information
Practice address
1009 SPRUCE ST, ESPANOLA, NM 87532-2740
(505) 747-4144
(505) 747-3213
Mailing address
1009 SPRUCE ST, ESPANOLA, NM 87532-2740
(505) 747-4144
(505) 747-3213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NM
363AM0700X
Medical Physician Assistant
—
NM
363AS0400X
Surgical Physician Assistant
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S6078
—
NM
Enumeration date
08/30/2006
Last updated
09/11/2025
Update your record
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