IndividualActive
Bruce Andersen, DPM
NPI 1609960699 · Podiatrist · Las Vegas, NM
Provider details
- NPI number
- 1609960699
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 163 (NM)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
109 Railroad Ave
Las Vegas, NM 87701
Phone: (505) 425-9491
Fax: (505) 454-8171
Approximate (ZIP-level) locationGet directions
Mailing address
109 Railroad Ave
Las Vegas, NM 87701
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2008-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.