NPI 1003179193

Matthew S Spiva, DPM

Practitioner Podiatrist Shiprock, NM

Practice location

Address: US Hwy 491 North, Shiprock, NM 87420
Phone: (505) 368-6001
Mailing address: PO Box 160, Shiprock, NM 87420-0160

Registered specialties (4)

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence POD387 (NM)

Other Podiatrist providers in New Mexico →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 8718615-0501 (UT)

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 8718615-0501 (UT)

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence POD387 (NM)

Registry record

NPI: 1003179193
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2012
Record last updated: 10 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.