Organization
FOOT SPECIALIST ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY J. DAUGHERTY (OFFICE MGR.)
(303) 722-6864
Entity
Organization
Contact information
Practice address
950 E HARVARD AVE, 300, DENVER, CO 80210-7009
(303) 722-6864
Mailing address
950 E HARVARD AVE, 300, DENVER, CO 80210-7009
(303) 722-6864
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00402
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004027
—
CO
Enumeration date
02/01/2008
Last updated
03/23/2012
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