Individual
DR. SUSAN ELIZABETH ERREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
ROUTE 301 NORTH 21 B AVE, ZUNI, NM 87327-0467
(505) 782-4431
Mailing address
PO BOX 467, ROUTE 301 NORTH 21 B AVE, ZUNI, NM 87327-0467
(505) 782-4431
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
016-003857
IL
213ES0131X
Foot Surgery Podiatrist
Primary
0299
AZ
213ES0131X
Foot Surgery Podiatrist
1431
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295578-06
—
TX
05
—
54555361
—
NM
Enumeration date
02/14/2006
Last updated
02/24/2015
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