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Individual

DR. MICHAEL ROBERT PINCUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2207 GOLF COURSE RD SE STE A, STE A, RIO RANCHO, NM 87124-1954
(505) 896-1500
(505) 896-1113
Mailing address
2207 GOLF COURSE RD SE, SUITE A, RIO RANCHO, NM 87124-1954
(505) 896-1500
(505) 896-1113

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
130
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
53355
NM
Enumeration date
10/28/2005
Last updated
04/12/2013
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