Individual
DARLO G. VANDER WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
718 LOMAS BLVD NW, ALBUQUERQUE, NM 87102-2073
(505) 843-6464
(505) 764-9210
Mailing address
718 LOMAS BLVD NW, ALBUQUERQUE, NM 87102-2073
(505) 843-6464
(505) 764-9210
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
099
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F8031
—
NM
Enumeration date
06/23/2005
Last updated
03/03/2014
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