NPI | 1861643819 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH GREGORY STILWELL Owner 970-259-5303 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 380) |
Enumeration Date | 2008-10-08 |
Last Update Date | 2010-04-27 |