SALLY A SERVOLD DPM PC NPI 1841469012

NPI Information

NPI: 1841469012
Provider Name: SALLY A SERVOLD DPM PC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
401 23RD ST
SUITE 205
GLENWOOD SPRINGS, CO
ZIP 81601
Phone: (970) 928-9785
Get Directions

SALLY A SERVOLD DPM PC is a foot surgery podiatrist in Glenwood Springs, CO. SALLY A SERVOLD DPM PC NPI is 1841469012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 23RD ST
SUITE 205
GLENWOOD SPRINGS, CO
ZIP 81601-363
Phone: (970) 928-9785
Fax: (970) 928-0423

The provider's authorized official is Sally A Servold .
The authorized official title is President and has the following contact phone number (970) 928-9785.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 3/7/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	0459	COLORADO	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01004597	MEDICAID	COLORADO
2	0459	OTHER	COLORADO	STATE LIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »