# BRUCE E NOXON DPM LLC

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

## Provider details

- **NPI number:** 1750083515
- **Authorized official:** BRUCE E NOXON PODIATIST (CEO /PRESIDENT)
- **Authorized official phone:** (847) 525-6347

## Contact information

- **Practice address:** 106 N FRENCH ST STE 220-C, BRECKENRIDGE, CO 80424-5690
- **Practice address phone:** (847) 202-6347
- **Practice address fax:** (888) 202-3110
- **Mailing address:** 106 N FRENCH ST STE 220-C, BRECKENRIDGE, CO 80424-5690
- **Mailing address phone:** (847) 202-6347
- **Mailing address fax:** (888) 202-3110

## Taxonomy

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

## Other

- **Enumeration date:** 03/17/2023
- **Last updated:** 03/17/2023