Individual
MIKALYN T DEFOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
181 W MEADOW DR STE 1000, VAIL, CO 81657-5889
(970) 476-1100
(970) 479-5835
Mailing address
181 W MEADOW DR STE 1000, VAIL, CO 81657-5889
(970) 476-1100
(970) 479-5835
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DR.0075016
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
DR.0075016
CO
Other
Enumeration date
03/06/2020
Last updated
06/26/2025
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