| NPI | 1578331930 |
|---|---|
| Doing Business As | EAST CROSSROADS CLINIC - PODIATRY |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance Medical Group 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-08-27 |