| NPI | 1922474030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB ROY BAKER Podiatrist 720-552-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CO POD.0000718) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2021-05-14 |