NPI | 1902070386 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY R COOK Physician And Owner 970-565-8336 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 540) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CO 540) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO 540) | |
261QP1100X Clinic/Center, Podiatric | |
Enumeration Date | 2008-04-16 |
Last Update Date | 2011-09-12 |