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Organization

PRO ACTIVE PODIATRY PC

Active
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Organization

PRO ACTIVE PODIATRY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE ANN REWEY (ACCOUNTING)
(972) 248-3191
Entity
Organization

Contact information

Practice address
3535 S LAFAYETTE ST, SUITE 110, ENGLEWOOD, CO 80113-3957
(720) 600-2240
(720) 310-2162
Mailing address
1476 S JOSEPHINE ST, DENVER, CO 80210-2428
(720) 600-2240
(720) 310-2162

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—

Other

Enumeration date
10/22/2014
Last updated
06/04/2015
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