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Contact Information

MATTHEW S SPIVA, DPM
US HWY 491 NORTH
SHIPROCK, NM87420
 Phone: 505-368-6001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MATTHEW S SPIVA · (Male)

NPI # 1003179193
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/22/2012
Last updated 10/10/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # POD387
  • UT License # 8718615-0501
Hospital affiliation(s)
  • GALLUP INDIAN MEDICAL CENTER - (Acute Care)
    516 E NIZHONI BLVD
    GALLUP, NM 87301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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