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Organization
BLUE MESA FOOT & ANKLE CENTERS INC
Active
Organization
BLUE MESA FOOT & ANKLE CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN D BAIZE DPM (PRESIDENT)
(970) 252-3470
Entity
Organization
Contact information
Practice address
2798 WOODGATE RD UNIT D, MONTROSE, CO 81401-5686
(970) 252-3470
(970) 252-3471
Mailing address
2798 WOODGATE RD UNIT D, MONTROSE, CO 81401-5686
(970) 252-3470
(970) 252-3471
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21175845
—
CO
01
—
B51582
BLUE CROSS BLUE SHIELD
CO
01
—
DA3780
RAIL ROAD MEDICARE
CO
Enumeration date
02/06/2007
Last updated
03/15/2010
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