Individual
ALAN W STREIGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D P M
Contact information
Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1650
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1650
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO1546
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO1546
FL
213ES0000X
Sports Medicine Podiatrist
PO1546
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340472200
—
FL
01
—
5323800001
DEMARC NUMBER
FL
Enumeration date
07/07/2006
Last updated
09/10/2010
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