| NPI | 1003083841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER V YULL Physician Owner 719-576-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: CO 642) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-10-06 |