| NPI | 1891989760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J COURTEMANCHE Manager 303-443-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 478) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2021-01-12 |