| NPI | 1770527889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD M KNUTSEN Owner 970-493-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2023-03-28 |