FOUR CORNERS FOOT AND ANKLE P.C. NPI 1629416342

NPI Information

FOUR CORNERS FOOT AND ANKLE P.C. is a foot and ankle surgery podiatrist in Durango, CO. FOUR CORNERS FOOT AND ANKLE P.C. NPI is 1629416342. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1266 ESCALANTE DR
SUITE 201
DURANGO, CO
ZIP 81301-490
Phone: (970) 259-5303
Fax: (970) 259-3510

The provider's authorized official is Kayse L Lake .
The authorized official title is Owner and has the following contact phone number (970) 259-5303.

The enumeration date for this NPI number is 6/5/2013 and was last updated on 4/20/2021.

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

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