Organization
NICHOLAS L HUGENTOBLER PC
Active
Parent organization
NICHOLAS L HUGENTOBLER, PC
Other names
Animas Foot & Ankle
Organization subpart
Yes
Provider details
NPI number
Legal business name
NICHOLAS L HUGENTOBLER, PC
Authorized official
ROBIN STEVENSON (CREDENTIALING SPECIALIST)
(480) 453-1105
Entity
Organization
Contact information
Practice address
2019 GALISTEO ST STE K-2, SANTA FE, NM 87505
(505) 395-9575
(505) 466-5166
Mailing address
575 RIVERGATE UNIT 105, DURANGO, CO 81301-7490
(970) 259-3154
(970) 828-1666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18-00150244
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60583517
—
NM
Enumeration date
06/01/2018
Last updated
06/01/2018
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