Organization
MICHAEL R PINCUS DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY PINCUS (MANAGER)
(505) 896-1500
Entity
Organization
Contact information
Practice address
2207 GOLF COURSE RD SE STE A, RIO RANCHO, NM 87124-1954
(505) 896-1500
(505) 896-1113
Mailing address
2207 GOLF COURSE RD SE STE A, RIO RANCHO, NM 87124-1954
(505) 896-1500
(505) 896-1113
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NM130
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53355
—
NM
Enumeration date
07/19/2007
Last updated
04/12/2013
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