Individual
PAXON RIDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 586-2200
(970) 586-4960
Mailing address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 577-4490
(970) 586-4960
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD.0000903
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
SC006674
PA
Other
Enumeration date
06/27/2015
Last updated
04/07/2023
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