Organization
ELITE FOOT & ANKLE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI BOGIN DPM (PODIATRIST/OWNER)
(323) 481-7597
Entity
Organization
Contact information
Practice address
3655 E 104TH AVE, SUITE B, THORNTON, CO 80233-4469
(720) 328-2022
(720) 328-1224
Mailing address
3879 E 120TH AVE, #337, THORNTON, CO 80233-1658
(720) 328-2022
(720) 328-1224
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
POD-698
CO
Other
Enumeration date
06/25/2013
Last updated
11/21/2013
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