Organization
PREMIER PODIATRY OF COLORADO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB STUART DPM (PODIATRIST)
(805) 551-7685
Entity
Organization
Contact information
Practice address
2630 W BELLEVIEW AVE STE 200, LITTLETON, CO 80123-7194
(805) 551-7685
Mailing address
2630 W BELLEVIEW AVE STE 200, LITTLETON, CO 80123-7194
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
08/26/2024
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