Organization
NORTHERN COLORADO FOOT AND ANKLE CLINICS PROFESSIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE HINES DPM (PODIATRIST/OWNER)
(417) 389-2203
Entity
Organization
Contact information
Practice address
12201 PECOS ST STE 400, WESTMINSTER, CO 80234-3994
(303) 469-9292
(303) 438-8951
Mailing address
3306 ABBEY RD UNIT 713, EVANS, CO 80620-8623
(417) 389-2203
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD.0000803
CO
Other
Enumeration date
11/06/2017
Last updated
12/27/2017
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