| NPI | 1174245088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI BOGIN Podiatrist 720-328-2022 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |