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Organization
SOUTHWEST FOOT AND ANKLE PC
Active
Organization
SOUTHWEST FOOT AND ANKLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS HUGENTOBLER DPM (DPM/OWNER)
(970) 903-9853
Entity
Organization
Contact information
Practice address
270 E 8TH AVE STE N-102, DURANGO, CO 81301-5708
(970) 903-9853
(970) 616-6745
Mailing address
270 E 8TH AVE STE N-102, DURANGO, CO 81301-5708
(970) 903-9853
(970) 616-6745
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
NULL
Other
Enumeration date
06/28/2019
Last updated
09/27/2021
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