Organization
FAMILY FOOT HEALTH SPECIALISTS OF FARMINGTON, LLC
Active
Organization
FAMILY FOOT HEALTH SPECIALISTS OF FARMINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE DORNER DPM (PODIATRIST)
(505) 860-4919
Entity
Organization
Contact information
Practice address
4801 N BUTLER AVE STE 14-102, FARMINGTON, NM 87401-0815
(505) 327-3650
(505) 327-2350
Mailing address
4801 N BUTLER AVE STE 14-102, FARMINGTON, NM 87401-0815
(505) 327-3650
(505) 327-2350
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740286780
NPI
NM
Enumeration date
05/27/2022
Last updated
03/06/2024
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