Organization
FOOT SURGERY CENTER OF NORTHERN COLORADO LLC
Active
Other names
Anderson Podiatry Center/Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CHARLES ANDERSON DPM (OWNER)
(970) 484-4620
Entity
Organization
Contact information
Practice address
1355 RIVERSIDE AVE, SUITE B, FORT COLLINS, CO 80524
(970) 484-4620
Mailing address
1355 RIVERSIDE AVE, SUITE B, FORT COLLINS, CO 80524
(970) 484-4620
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
662
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04510368
—
CO
05
—
114239900
—
WY
01
—
490003559
MEDICARE - RR
CO
Enumeration date
07/11/2007
Last updated
10/21/2014
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