Organization
EASTERN COLORADO PODIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHON DORMISH DPM (OWNER)
(303) 525-7211
Entity
Organization
Contact information
Practice address
16350 E ARAPAHOE RD, SUITE 108, FOXFIELD, CO 80016-1557
(303) 525-7211
Mailing address
16350 E ARAPAHOE RD, SUITE 108, FOXFIELD, CO 80016-1557
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
571
CO
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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