Organization
FOOT & ANKLE SPECIALISTS OF NEW MEXICO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN S WREGE DPM (OWNER)
(505) 271-9900
Entity
Organization
Contact information
Practice address
5111 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-2672
(505) 271-9900
(505) 271-0217
Mailing address
5111 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-2672
(505) 271-9900
(505) 271-0217
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
212
NM
332B00000X
Durable Medical Equipment & Medical Supplies
212
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59675
—
NM
Enumeration date
02/12/2007
Last updated
01/31/2012
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