NPI | 1104123249 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA HERZOG Physician 303-814-1082 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 686) |
Enumeration Date | 2011-02-25 |
Last Update Date | 2022-11-10 |