Individual
JASON PAUL MITCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.PED
Contact information
Practice address
COLORADO SPRINGS ORTHOPAEDIC GROUP DBA AUDUBON ORTHOTIC, 4110 BRIARGATE PARKWAY SUITE 300, COLORADO SPRINGS, CO 80920-7837
(719) 632-7669
(719) 632-0088
Mailing address
4110 BRIARGATE PARKWAY, SUITE 300, COLORADO SPRINGS, CO 80920-7837
(719) 867-7335
(719) 632-0088
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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