Individual
NATHAN SANFORD JEPPESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2301 INDIAN WELLS RD STE A, ALAMOGORDO, NM 88310-4611
(575) 434-0639
Mailing address
2301 INDIAN WELLS RD STE A, ALAMOGORDO, NM 88310-4611
(575) 434-0639
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0745
AZ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD2026-0001
NM
213ES0131X
Foot Surgery Podiatrist
0745
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
715319
—
AZ
Enumeration date
04/06/2009
Last updated
02/19/2026
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