Individual
THEODORE LAWRENCE VAROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1204 C CANDELARIA NW, ALBUQUERQUE, NM 87107-2766
(505) 345-8529
(505) 345-6410
Mailing address
1204 C CANDELARIA NW, ALBUQUERQUE, NM 87107-2766
(505) 345-8529
(505) 345-6410
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
219
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
219
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53363
—
NM
01
—
CS00010705
CONTROLLED SUBSTANCE REGI
NM
Enumeration date
06/20/2006
Last updated
09/11/2025
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