Organization
GARY D PRANT
Active
Parent organization
GARY D PRANT DPM
Other names
Gary Prant DPM
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARY D PRANT DPM
Authorized official
GARY D PRANT DPM (PODIATRIST OWNER)
(505) 299-4487
Entity
Organization
Contact information
Practice address
7700 MENAUL BLVD NE, STE D, ALBUQUERQUE, NM 87110
(505) 299-4487
(505) 299-4498
Mailing address
7700 MENAUL BLVD NE, STE D, ALBUQUERQUE, NM 87110-4639
(505) 299-4487
(505) 299-4498
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92337287
—
NM
Enumeration date
03/19/2008
Last updated
03/30/2023
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