# BOULDER VALLEY FOOT & ANKLE CLINIC PC

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

## Provider details

- **NPI number:** 1891989760
- **Authorized official:** DONNA J COURTEMANCHE (MANAGER)
- **Authorized official phone:** (303) 443-8900

## Contact information

- **Practice address:** 4735 WALNUT ST STE C, BOULDER, CO 80301-2553
- **Practice address phone:** (303) 443-8900
- **Practice address fax:** (303) 442-3140
- **Mailing address:** 4735 WALNUT ST STE C, BOULDER, CO 80301-2553
- **Mailing address phone:** (303) 443-8900
- **Mailing address fax:** (303) 442-3140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 478 | CO | Yes |
| 213ES0131X | Foot Surgery Podiatrist | — | CO | — |

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 01/12/2021