| 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 |