Organization · Type 2 NPI

Rio Grande Foot & Ankle Specialists LLC

Foot & Ankle Surgery Podiatrist · Santa Fe, NM

NPI number 1497364780 Active

Practice location

2019 Galisteo St Ste K-2
Santa Fe, NM 87505-2143

Call (505) 395-9575 Map

Fax (877) 540-1253

Mailing address

PO Box 540610
North Salt Lake, UT 84054-0610

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed

Foot & Ankle Surgery Podiatrist: Definition to come...

Another provider at this address

Nicholas L Hugentobler PCDurable Medical Equipment & Medical Supplies Santa Fe, NM NPI 1134611460

Other foot & ankle surgery podiatrist providers in Santa Fe

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NPI record

NPI: 1497364780
Entity type: Organization (Type 2)
Issued: Jul 23, 2020
Last updated: Jun 13, 2022
Status: Active
Subpart: Yes of Rio Grande Foot & Ankle Specialists LLC

Other names

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Rio Grande Foot & Ankle Specialists LLC · doing business as
Rio Grande Foot & Ankle Specialists LLC · doing business as

Authorized official

Michelle Elizabeth Deithloff
Dpm/owner
(505) 395-9575

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1497364780

Rio Grande Foot & Ankle Specialists LLC's National Provider Identifier is 1497364780, issued on Jul 23, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Santa Fe, NM. The record was last updated on Jun 13, 2022.