Provider Demographics
NPI:1063778512
Name:ADOBE FOOT AND ANKLE SPECIALISTS, P.C.
Entity type:Organization
Organization Name:ADOBE FOOT AND ANKLE SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEMBREE
Authorized Official - Suffix:III
Authorized Official - Credentials:DPM
Authorized Official - Phone:505-281-7973
Mailing Address - Street 1:765 EAST ROOSEVELT AVENUE
Mailing Address - Street 2:
Mailing Address - City:GRANTS
Mailing Address - State:NM
Mailing Address - Zip Code:87020
Mailing Address - Country:US
Mailing Address - Phone:505-287-5365
Mailing Address - Fax:505-287-5539
Practice Address - Street 1:765 E. ROOSEVELT AVE.
Practice Address - Street 2:
Practice Address - City:GRANTS
Practice Address - State:NM
Practice Address - Zip Code:87020
Practice Address - Country:US
Practice Address - Phone:505-287-5365
Practice Address - Fax:505-287-5539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM314213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty