Organization
NEW MEXICO FOOT AND ANKLE INSTITUTE PC
Active
Parent organization
NEW MEXICO FOOT AND ANKLE INSTITUTE PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW MEXICO FOOT AND ANKLE INSTITUTE PC
Authorized official
NATHAN D IVEY DPM (OWNER)
(505) 880-1000
Entity
Organization
Contact information
Practice address
10511 GOLF COURSE RD NW STE 203, ALBUQUERQUE, NM 87114-5917
(505) 872-3333
(505) 880-1002
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
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08571325
—
NM
01
—
4583990001
DMERC
NM
Enumeration date
03/28/2017
Last updated
05/30/2023
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