BOULDER COUNTY FOOT & ANKLE PC NPI 1255574182

NPI Information

BOULDER COUNTY FOOT & ANKLE, PC is a podiatric clinic center in Boulder, CO. BOULDER COUNTY FOOT & ANKLE, PC NPI is 1255574182. The provider is registered as an organization entity type.

The provider's business location address is:

2575 PEARL ST
#240
BOULDER, CO
ZIP 80302-851
Phone: (303) 449-2910
Fax: (303) 449-2931

The provider's authorized official is John Stuart Jachimiak .
The authorized official title is Owner and has the following contact phone number (303) 442-2910.

The enumeration date for this NPI number is 4/8/2009 and was last updated on 10/10/2013.

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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