Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | 253 | NM |
N | 213ES0000X | Sports Medicine | 253 | NM |
Y | 213ES0103X | Foot & Ankle Surgery | 253 | NM |
NPI | 1134192339 |
---|---|
Provider Name | Dr. Sanford David Schulhofer |
First Address | Santa Fe, NM 87505-4742 |
Second Address | Santa Fe, NM 87505-4742 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 16/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S2165 | (05) | NM |
U55924 | (02) | NM |