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Contact Information

WILLIAM B HESIDENCE II, DPM
511 E NIZHONI BLVD
GALLUP, NM87301-5757
 Phone: 505-722-1000
 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 WILLIAM B HESIDENCE II · (Male)

NPI # 1326047846
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/18/2005
Last updated 02/16/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 257
  • FL License # PO 2948
  • FL License # PO2948
  • LA License # PD0103
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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