Organization
NWSC CO DR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL ODEN (ADMINISTRATOR)
(414) 364-9676
Entity
Organization
Contact information
Practice address
13402 W COAL MINE AVE # 310, LITTLETON, CO 80127-5407
(720) 758-6760
(720) 758-6761
Mailing address
13402 W COAL MINE AVE # 310, LITTLETON, CO 80127-5407
(720) 758-6760
(720) 758-6761
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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