| NPI | 1518189059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J MACFARLANE Owner 303-783-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CO 549) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-03-31 |