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Organization

RIO GRANDE FOOT & ANKLE SPECIALISTS LLC

Active
Parent organization
RIO GRANDE FOOT & ANKLE SPECIALISTS
Organization subpart
Yes

Provider details

NPI number
Legal business name
RIO GRANDE FOOT & ANKLE SPECIALISTS
Authorized official
MICHELLE DEITHLOFF (DPM)
(801) 643-2921
Entity
Organization

Contact information

Practice address
404 BRUNN SCHOOL RD, SANTA FE, NM 87505-1102
(505) 395-9575
(877) 540-1253
Mailing address
2561 S 1560 W STE B, WOODS CROSS, UT 84087-2361
(801) 505-0821

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
08/17/2021
Last updated
01/28/2025
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