Organization
AFFILIATED PODIATRY ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC STESS DPN (OWNER)
(505) 988-8863
Entity
Organization
Contact information
Practice address
539 HARKLE RD STE C, SANTA FE, NM 87505-4783
(505) 988-8863
(505) 988-5940
Mailing address
539 HARKLE RD STE C, SANTA FE, NM 87505-4783
(505) 988-8863
(505) 988-5940
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
124
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00054106
—
NM
01
—
0692600001
MEDICARE PALMETO
NM
Enumeration date
03/03/2008
Last updated
04/30/2008
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