SANDIA FOOT AND ANKLE, LLC; NPI #1902335102

Contact Information

SANDIA FOOT AND ANKLE, LLC

8224 LOUISIANA BLVD NE STE C
ALBUQUERQUE, NM 87113-2108

Phone: 505-506-2503
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for SANDIA FOOT AND ANKLE, LLC

NPI # 1902335102

LBN Legal business name SANDIA FOOT AND ANKLE, LLC

Authorized official JILL REYNOLDS - (CREDENTIALING SUPERVISOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/09/2017

Last updated 07/21/2022 - About 4 years ago

Identifiers

License #

290

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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SANDIA FOOT AND ANKLE, LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for SANDIA FOOT AND ANKLE, LLC

Reviews for SANDIA FOOT AND ANKLE, LLC