Individual
DENISE M DORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4801 N BUTLER AVE, STE 14102, FARMINGTON, NM 87401-6002
(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
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD213
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59931
—
NM
Enumeration date
06/23/2005
Last updated
03/27/2024
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