Organization
DARLO G VANDER WILT DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARLO VANDER WILT DPM (PRESIDENT/OWNER)
(505) 843-6464
Entity
Organization
Contact information
Practice address
718 LOMAS BLVD NW, ALBUQUERQUE, NM 87102-2073
(505) 843-6464
Mailing address
718 LOMAS BLVD NW, ALBUQUERQUE, NM 87102-2073
(505) 843-6464
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
099
NM
Other
Enumeration date
02/12/2009
Last updated
05/21/2009
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