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Organization
FRONT RANGE PODIATRY PLLC
Active
Organization
FRONT RANGE PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M SHAIN (CO-OWNER)
(734) 246-8004
Entity
Organization
Contact information
Practice address
1500 PARK CENTRAL DR, HIGHLANDS RANCH, CO 80129-6688
(720) 662-7184
(720) 662-7616
Mailing address
8151 SOUTHPARK LN UNIT 250, LITTLETON, CO 80120-4534
(720) 662-7184
(720) 662-7616
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
08/15/2023
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