| Eastern New Mexico Foot & Ankle, Pc | |
|
1820 W 21st St, Clovis, NM 88101-4024 | |
| (208) 351-4559 | |
| Not Available |
| Full Name | Eastern New Mexico Foot & Ankle, Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1820 W 21st St, Clovis, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437695327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 349 (New Mexico) | Primary |
| Provider Name | Devin D Wahlen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316259930 PECOS PAC ID: 0446493258 Enrollment ID: I20130827000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern New Mexico Foot & Ankle, Pc 1820 W 21st St, Clovis, NM 88101-4024 Ph: (575) 935-3668 | Eastern New Mexico Foot & Ankle, Pc 1820 W 21st St, Clovis, NM 88101-4024 Ph: (208) 351-4559 |
Dr. Yilma Kebede Kebelo, MD, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2421 W 21st St Ste B, Clovis, NM 88101 Phone: 575-769-7577 | |
Dr. Devin Dean Wahlen, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1820 W 21st St, Clovis, NM 88101 Phone: 208-351-4559 | |
Mr. Steven T. Naggs, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1937 W 21st St, Clovis, NM 88101 Phone: 505-762-5045 Fax: 505-762-5242 |