| NPI | 1316404874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON J DORMISH Owner/Podiatrist 303-525-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |