Organization
BRUCE E NOXON DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE E NOXON PODIATIST (CEO /PRESIDENT)
(847) 525-6347
Entity
Organization
Contact information
Practice address
106 N FRENCH ST STE 220-C, BRECKENRIDGE, CO 80424-5690
(847) 202-6347
(888) 202-3110
Mailing address
106 N FRENCH ST STE 220-C, BRECKENRIDGE, CO 80424-5690
(847) 202-6347
(888) 202-3110
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
POD.0000889
PODIATRIST
CO
Enumeration date
03/17/2023
Last updated
03/17/2023
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