| NPI | 1124680624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARGARET RYAN President 303-680-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2025-05-18 |