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Contact Information

DENISE M DORNER, DPM
4801 N BUTLER AVE
STE 14102
FARMINGTON, NM87401-6002
 Phone: 505-327-3650
 Fax: 505-327-2350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DENISE M DORNER · (Female)

NPI # 1740286780
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/23/2005
Last updated 03/27/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NM License # POD213
  • NM Medicaid 59931
Hospital affiliation(s)
  • SAN JUAN REGIONAL MEDICAL CENTER - (Acute Care)
    801 WEST MAPLE STREET
    FARMINGTON, NM 87401
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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