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Contact Information

DARLO G VANDER WILT, DPM
718 LOMAS BLVD NW
ALBUQUERQUE, NM87102-2073
 Phone: 505-843-6464
 Fax: 505-764-9210
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DARLO G VANDER WILT · (Male)

NPI Number 1093711087
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/23/2005
Last updated 03/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 099
  • NM Medicaid F8031
Hospital affiliation(s) Not Available
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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