Organization
EASTERN NEW MEXICO FOOT & ANKLE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN DEAN WAHLEN (PHYSICIAN/OWNER)
(575) 935-3668
Entity
Organization
Contact information
Practice address
1820 W 21ST ST, CLOVIS, NM 88101-4024
(208) 351-4559
Mailing address
1820 W 21ST ST, CLOVIS, NM 88101-4024
(575) 935-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
349
NM
Other
Enumeration date
01/16/2017
Last updated
05/11/2021
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