Organization
ELITE FOOT & ANKLE CLINIC
Active
Parent organization
ELITE FOOT & ANKLE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE FOOT & ANKLE CLINIC
Authorized official
STACI BOGIN (PODIATRIST)
(720) 328-2022
Entity
Organization
Contact information
Practice address
3655 E 104TH AVE UNIT B, THORNTON, CO 80233-6136
(720) 328-2022
(720) 328-1224
Mailing address
3879 E 120TH AVE # 337, THORNTON, CO 80233-1658
(720) 328-2022
(720) 328-1224
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000151359
—
CO
Enumeration date
09/16/2022
Last updated
09/16/2022
Update your record
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