| NPI | 1053409409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PETTET Owner 303-730-2955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 450) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2009-01-08 |