Individual
DAVID L DEETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
710 S ALAMEDA BLVD, LAS CRUCES, NM 88005-2928
(575) 523-8566
(575) 525-2065
Mailing address
710 S ALAMEDA BLVD, LAS CRUCES, NM 88005-2928
(575) 523-8566
(575) 525-2065
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NM142
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54072
—
NM
01
—
NM035303
BLUE CROSS BLUE SHIELD
NM
Enumeration date
05/31/2005
Last updated
05/14/2008
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