RIO GRANDE FOOT CLINIC INC NPI 1225194608

NPI Information

RIO GRANDE FOOT CLINIC INC is a foot and ankle surgery podiatrist in Las Cruces, NM. RIO GRANDE FOOT CLINIC INC NPI is 1225194608. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

710 S ALAMEDA BLVD
LAS CRUCES, NM
ZIP 88005-928
Phone: (575) 523-8566
Fax: (575) 525-2065

The provider's authorized official is David L Deetz .
The authorized official title is Owner and has the following contact phone number (575) 523-8566.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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