| NPI | 1598403990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M SHAIN Co Owner 720-662-7184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |