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Organization

STILL FOOT & ANKLE CARE CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY PAUL STILL D.P.M. (PRESIDENT/OWNER)
(303) 763-4900
Entity
Organization

Contact information

Practice address
1707 COLE BLVD, #150, GOLDEN, CO 80401-3220
(303) 233-8295
(303) 233-8443
Mailing address
1707 COLE BLVD, #250, GOLDEN, CO 80401-3220
(303) 763-4900
(303) 763-7155

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
547
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36132071
CO
01
COA101993
GROUP PTAN
CO
Enumeration date
08/12/2010
Last updated
11/01/2010
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