Organization · Type 2 NPI

Stephanie Gonzalez DPM PA

Podiatric Clinic/Center · Las Cruces, NM

NPI number 1972127512 Active

Practice location

4151 Camino Coyote Ste B
Las Cruces, NM 88011-7096

Call (575) 680-2227 Map

Fax (575) 680-2228

Mailing address

PO Box 221463
El Paso, TX 79913-4463

Specialties and licenses

Taxonomy	Code	License
Podiatric Clinic/Center Primary	261QP1100X	None listed

Podiatric Clinic/Center: Definition to come...

NPI record

NPI: 1972127512
Entity type: Organization (Type 2)
Issued: May 29, 2020
Last updated: Jun 23, 2020
Status: Active
Subpart: Yes of Stephanie Gonzalez DPM PA

Other names

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Stephanie Gonzalez, Dpm, PA · doing business as
Stephanie Gonzalez, Dpm, PA · doing business as

Authorized official

Stephanie Gonzalez, DPM
Podiatrist/owner
(575) 680-2227

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 1972127512

Stephanie Gonzalez DPM PA's National Provider Identifier is 1972127512, issued on May 29, 2020. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Las Cruces, NM. The record was last updated on Jun 23, 2020.