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Organization

HIGH DESERT FOOT & ANKLE SPECIALISTS, LLC

Active
Other names
Valencia Associated Podiatrists
Organization subpart
No

Provider details

NPI number
Authorized official
TOMMY GENE ROE DPM (PHYSICIAN/OWNER)
(505) 565-1155
Entity
Organization

Contact information

Practice address
9412 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87112-2878
(505) 565-1155
(505) 565-1166
Mailing address
PO BOX 53056, ALBUQUERQUE, NM 87153-3056
(505) 565-1155
(505) 565-1166

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
279
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55003800
NM
05
84001780
NM
Enumeration date
02/05/2018
Last updated
02/28/2019
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