Individual
JEFFREY ASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
300 W COUNTRY CLUB RD STE 130, ROSWELL, NM 88201-5249
(575) 625-2669
(575) 625-1296
Mailing address
300 W COUNTRY CLUB RD STE 130, ROSWELL, NM 88201-5249
(575) 625-2669
(575) 625-1296
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
300
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4583990001
DMERC
—
05
—
55155863
—
NM
01
—
NPI & TIN
BCBS OF NM
NM
Enumeration date
08/09/2006
Last updated
09/28/2021
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