Organization
PRO ACTIVE PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE ANN REWEY (ACCOUNTING)
(972) 248-3191
Entity
Organization
Contact information
Practice address
3535 S LAFAYETTE ST, SUITE 110, ENGLEWOOD, CO 80113-3957
(720) 600-2240
(720) 310-2162
Mailing address
1476 S JOSEPHINE ST, DENVER, CO 80210-2428
(720) 600-2240
(720) 310-2162
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
06/04/2015
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