| NPI | 1720301716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY TODD DOMINGUE Podiatric Physician / Owner 303-909-6819 |
| Organization Subpart ? | |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CO 682) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2011-02-07 |