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Organization
FRONT RANGE FOOT AND ANKLE CLINIC LLC
Active
Organization
FRONT RANGE FOOT AND ANKLE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MALLETT DPM (OWNER)
(720) 670-0544
Entity
Organization
Contact information
Practice address
10259 SOUTH PARKER RD, SUITE 200A, PARKER, CO 80134
(720) 670-0544
(720) 253-0794
Mailing address
10259 SOUTH PARKER RD, SUITE 200A, PARKER, CO 80134
(720) 670-0544
(720) 253-0794
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
650
CO
Other
Enumeration date
11/03/2011
Last updated
06/09/2014
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