Healthcare Provider Details

I. General information

NPI: 1871586081
Provider Name (Legal Business Name): ARROYO FOOT & ANKLE CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2005
Last Update Date: 03/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 S WALNUT ST STE 3
LAS CRUCES NM
88001-1425
US

IV. Provider business mailing address

780 S WALNUT ST STE 3
LAS CRUCES NM
88001-1425
US

V. Phone/Fax

Practice location:
  • Phone: 505-525-3980
  • Fax: 505-526-8529
Mailing address:
  • Phone: 505-525-3980
  • Fax: 505-526-8529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. HSIAO-CHUN YU
Title or Position: SEC TREAS
Credential: DPM
Phone: 505-525-3980