Organization
FOOT AND ANKLE INSTITUTE OF COLORADO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DIEHL HINDERLAND D.P.M. (PODIATRIST)
(719) 488-4664
Entity
Organization
Contact information
Practice address
1465 KELLY JOHNSON BLVD STE 100, COLORADO SPRINGS, CO 80920-3945
(719) 488-4664
(719) 488-4667
Mailing address
1465 KELLY JOHNSON BLVD STE 100, COLORADO SPRINGS, CO 80920-3945
(719) 488-4664
(719) 488-4667
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
707
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40585042
—
CO
Enumeration date
05/11/2015
Last updated
02/28/2020
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