Individual
JANET E SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
8300 CARMEL AVE NE, STE 501, ALBUQUERQUE, NM 87122-3125
(505) 797-1001
(505) 828-1571
Mailing address
4343 PAN AMERICAN FWY NE, STE 234, ALBUQUERQUE, NM 87107-6834
(505) 880-1000
(505) 880-1002
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
223
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F6176
—
NM
01
—
25842
PRESBYTERIAN HEALTH PLAN
NM
01
—
NM005430
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/21/2005
Last updated
08/29/2022
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