Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Orthopaedic Surgery |
207X00000X | 02 | Physician/General Surgery |
| NPI # | 1003362807 |
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| LBN Legal business name | NEW MEXICO BONE AND JOINT INSTITUTE PC | ||||
| Authorized official | DOUGLAS DODSON - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 08/31/2016 | ||||
| Last updated | 05/16/2022 - About 4 years ago | ||||
| Identifiers |
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