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Contact Information

FAMILY FOOT HEALTH SPECIALISTS, P.C.
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 FAMILY FOOT HEALTH SPECIALISTS, P.C.

NPI # 1679741813
LBN Legal business name FAMILY FOOT HEALTH SPECIALISTS, P.C.
Authorized official DARLO VANDER WILT - (PRESIDENT/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2008
Last updated 02/23/2015 - About 11 years ago
Identifiers
NM License # 099
NM Medicaid F8031
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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