Organization
STEPHANIE GONZALEZ DPM PA
Active
Parent organization
STEPHANIE GONZALEZ DPM PA
Other names
Stephanie Gonzalez, DPM, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHANIE GONZALEZ DPM PA
Authorized official
STEPHANIE GONZALEZ DPM (PODIATRIST/OWNER)
(575) 680-2227
Entity
Organization
Contact information
Practice address
4151 CAMINO COYOTE STE B, LAS CRUCES, NM 88011-7096
(575) 680-2227
(575) 680-2228
Mailing address
PO BOX 221463, EL PASO, TX 79913-4463
(575) 680-2227
(575) 680-2228
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2020
Last updated
06/23/2020
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