| NPI | 1790999035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE HELVEY Billing & Credentialing Lead 719-544-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 665) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-04-03 |