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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