Individual
RYDER DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPOA, CFO, CFTS
Contact information
Practice address
124 ALVARADO DR SE, ALBUQUERQUE, NM 87108-2940
(505) 266-1700
Mailing address
124 ALVARADO DR SE, ALBUQUERQUE, NM 87108-2940
(818) 521-6829
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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