# TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982076832
- **Legal business name:** TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC
- **Authorized official:** ANTHONY VALENTI III DPM (PRESIDENT)
- **Authorized official phone:** (303) 422-6043

## Contact information

- **Practice address:** 255 UNION BLVD, SUITE 310, LAKEWOOD, CO 80228-1810
- **Practice address phone:** (303) 985-1212
- **Mailing address:** 3555 LUTHERAN PKWY, SUITE 150, WHEAT RIDGE, CO 80033-6021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 547 | CO | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 324 | CO | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 544 | CO | Yes |

## Other

- **Enumeration date:** 10/30/2015
- **Last updated:** 10/30/2015