Individual
DR. DEVIN DEAN WAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1820 W 21ST ST, CLOVIS, NM 88101-4024
(208) 351-4559
Mailing address
1820 W 21ST ST, CLOVIS, NM 88101-4024
(575) 935-3668
(575) 935-3669
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
349
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68923236
—
NM
Enumeration date
07/12/2010
Last updated
07/21/2022
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