Organization
ALTITUDE FOOT & ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY LYNN WILMS D.P.M. (PODIATRIST)
(419) 788-2396
Entity
Organization
Contact information
Practice address
1138 OLYMPIA AVE, UNIT B, LONGMONT, CO 80504-2382
(419) 788-2396
Mailing address
1138 OLYMPIA AVE., UNIT B, LONGMONT, CO 80504
(419) 788-2396
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
673
CO
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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