NPI | 1588842124 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC J. RICHARDSON Doctor/Owner 719-544-5958 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 595) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2018-03-17 |