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Organization
NORTHERN COLORADO FOOT AND ANKLE CLINICS PROFESSIONAL LLC
Active
Organization
NORTHERN COLORADO FOOT AND ANKLE CLINICS PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE HINES DPM (PODIATRIST/OWNER)
(417) 389-2203
Entity
Organization
Contact information
Practice address
12201 PECOS ST STE 400, WESTMINSTER, CO 80234-3994
(303) 469-9292
(303) 438-8951
Mailing address
3306 ABBEY RD UNIT 713, EVANS, CO 80620-8623
(417) 389-2203
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD.0000803
CO
Other
Enumeration date
11/06/2017
Last updated
12/27/2017
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