Organization
PEAK PERFORMANCE FOOT & ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY TODD DOMINGUE D.P.M. (PODIATRIC PHYSICIAN / OWNER)
(303) 909-6819
Entity
Organization
Contact information
Practice address
9397 CROWN CREST BLVD, SUITE #230, PARKER, CO 80138-8575
(303) 880-2093
Mailing address
10787 HUNTWICK ST, HIGHLANDS RANCH, CO 80130-6992
(303) 880-2093
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
682
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720301716
NPI CORPORATION
CO
01
—
U68075
NPI INDIVIDUAL 1962418178
CO
Enumeration date
03/05/2010
Last updated
02/07/2011
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