Organization Name: | ADOBE FOOT AND ANKLE SPECIALISTS, P.C. |
NPI Number: | 1063778512 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN L. HEMBREE (PRESIDENT) |
Mailing Address: | 765 E. Roosevelt Ave. Grants |
State: | NM US |
Postal Code: | 87020 |
Phone Number: | 5052875365 |
Fax Number: | 5052875539 |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |