| 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 |