Individual
MARIAM POPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420-0160
(505) 368-6001
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103300999
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103300999
LICENSE
VA
Enumeration date
05/13/2008
Last updated
08/16/2022
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