| NPI | 1003294083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DIEHL HINDERLAND Podiatrist 719-488-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 707) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2020-02-28 |