Organization
SOUTHEAST NEW MEXICO PODIATRY ASSOCIATES INC
Active
Parent organization
SOUTHEAST NM PODIATRY ASSOCIATES, INC
Other names
Southeast NM Podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST NM PODIATRY ASSOCIATES, INC
Authorized official
OLGA MAGEE (PRACTICE MANAGER)
(575) 885-3445
Entity
Organization
Contact information
Practice address
5419 N LOVINGTON HWY STE 9, HOBBS, NM 88240-9135
(575) 964-8770
(575) 887-0163
Mailing address
1016 W PIERCE ST, CARLSBAD, NM 88220-4013
(575) 885-3445
(575) 887-0163
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89008863
—
NM
Enumeration date
06/04/2019
Last updated
11/04/2020
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