NPI: 1205973401
Provider Name: ALBUQUERQUE FOOT & ANKLE, INC.
Former Legal Business Name: SHARON WALSTON FOOT AND ANKLE SPECIALIST, LLC
Classification: Clinic/Center - 261QP1100X
Entity Type: Organization
Specialization: Podiatric
CLIA Number: 32D2065620
Address:
6821 MONTGOMERY BLVD NE
SUITE D
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 881-8081
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ALBUQUERQUE FOOT & ANKLE, INC. is a podiatric clinic center in Albuquerque, NM. ALBUQUERQUE FOOT & ANKLE, INC. NPI is 1205973401. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Sharon Walston Foot And Ankle Specialist, Llc.
The provider's business location address is:
6821 MONTGOMERY BLVD NE
SUITE D
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 881-8081
Fax: (505) 883-5997
The provider's authorized official is Sharon Walston Kobos .
The authorized official title is Podiatrist and has the following contact phone number (505) 881-8081.
The CLIA number assigned to this NPI record is 32D2065620 - school/student health service with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/30/2007 and was last updated on 11/15/2010.