Organization
RIO GRANDE FOOT & ANKLE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE TAYLOR (DIRECTOR OF OPERATIONS & CREDENTIAL)
(801) 505-0821
Entity
Organization
Contact information
Practice address
1399 WEIMER RD STE 400, TAOS, NM 87571-6348
(575) 214-8521
(877) 540-1253
Mailing address
280 S MAIN ST, BOUNTIFUL, UT 84010-6236
(801) 505-0821
(801) 505-0803
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
12/06/2024
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