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NPI 1588073290 · live from the CMS NPI Registry

Michelle Elizabeth Leonard Deithloff, D.P.M.

Podiatrist, Foot & Ankle Surgery in Santa Fe, NM. National Provider Identifier 1588073290, active.

NPI record

NPI1588073290 Type 1 · individual
StatusActive
Primary specialtyPodiatrist, Foot & Ankle Surgery 213ES0103X
Practice location404 Brunn School Rd, Santa Fe, NM 87505
Practice phone505-395-9575
Mailing addressPo Box 540610, N Salt Lake, UT 84054
EnumeratedAugust 6, 2014
Last updatedJanuary 28, 2025
Sole proprietorYes
Other namesMichelle Leonard

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery primary213ES0103XPOD401 (NM)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.