| NPI | 1780866459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY ELIZEBETH BERG Owner/Physician 719-594-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 517) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2022-07-21 |