FOOT AND ANKLE CARE OF BOULDER COUNTY LLC NPI 1710168786

NPI Information

FOOT AND ANKLE CARE OF BOULDER COUNTY, LLC is a foot and ankle surgery podiatrist in Boulder, CO. FOOT AND ANKLE CARE OF BOULDER COUNTY, LLC NPI is 1710168786. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1400 28TH ST
SUITE 2
BOULDER, CO
ZIP 80303-096
Phone: (303) 449-2000
Fax: (303) 449-9475

The provider's authorized official is Thomas E Shonka .
The authorized official title is Managing Partner and has the following contact phone number (303) 449-2000.

The enumeration date for this NPI number is 11/19/2007 and was last updated on 10/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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