Organization
SOUTHWEST PODIATRY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAITH CARIN SHAPIRO D.P.M. (PRESIDENT)
(505) 298-7666
Entity
Organization
Contact information
Practice address
1903 WYOMING BLVD NE, SUITE C, ALBUQUERQUE, NM 87112-2821
(505) 298-7666
(505) 296-0464
Mailing address
1903 WYOMING BLVD NE, SUITE C, ALBUQUERQUE, NM 87112-2821
(505) 298-7666
(505) 296-0464
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
175
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54577
—
NM
Enumeration date
03/06/2007
Last updated
09/23/2008
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