| NPI | 1710042841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK W HAINGE Owner 719-574-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 347) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 593) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2010-08-10 |