# FRONT RANGE FOOT AND ANKLE CLINIC LLC

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

## Provider details

- **NPI number:** 1912283045
- **Authorized official:** DR. DANIEL MALLETT DPM (OWNER)
- **Authorized official phone:** (720) 670-0544

## Contact information

- **Practice address:** 10259 SOUTH PARKER RD, SUITE 200A, PARKER, CO 80134
- **Practice address phone:** (720) 670-0544
- **Practice address fax:** (720) 253-0794
- **Mailing address:** 10259 SOUTH PARKER RD, SUITE 200A, PARKER, CO 80134
- **Mailing address phone:** (720) 670-0544
- **Mailing address fax:** (720) 253-0794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 650 | CO | Yes |

## Other

- **Enumeration date:** 11/03/2011
- **Last updated:** 06/09/2014