| NPI | 1386769784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLIN RAY PETERSON Owner 719-544-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 648) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-03-25 |