| NPI | 1639277312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD BALLOW President 303-758-9031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 337) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-06-10 |