| NPI | 1699337741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS HUGENTOBLER Dpm/Owner 970-903-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2021-09-27 |