| NPI | 1013195924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY J. DAUGHERTY Office Mgr. 303-722-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 00402) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2012-03-23 |