# ROCK CANYON FOOT AND ANKLE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598924169
- **Authorized official:** DR. JEREMY CADE CHRISTENSEN D.P.M. (MANAGER)
- **Authorized official phone:** (303) 660-4115

## Contact information

- **Practice address:** 3740 DACORO LN, SUITE 105, CASTLE ROCK, CO 80109-2503
- **Practice address phone:** (303) 660-4115
- **Mailing address:** 3740 DACORO LN STE 105, CASTLE ROCK, CO 80109-2515
- **Mailing address phone:** (303) 660-4115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 678 | CO | Yes |

## Other

- **Enumeration date:** 06/08/2008
- **Last updated:** 04/06/2020