| NPI | 1265593594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE T FLEMING Owner 719-574-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CO 656) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CO 366) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-02-06 |