Organization
PODIATRY ASSOCIATES OF NEW MEXICO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD J KERBLESKI DPM (CO-OWNER)
(505) 797-1001
Entity
Organization
Contact information
Practice address
711 ENCINO PL NE, SUITE G, ALBUQUERQUE, NM 87102-2619
(505) 243-7600
Mailing address
8300 CARMEL AVE NE, SUITE 501, ALBUQUERQUE, NM 87122-3147
(505) 797-1001
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79012
—
NM
01
—
CH3682
MEDICARE RAILROAD
NM
Enumeration date
03/22/2007
Last updated
11/09/2009
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