Organization
LONGMONT FOOT AND ANKLE CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WILLIAM TAYLOR DPM (PRESIDENT)
(303) 776-9122
Entity
Organization
Contact information
Practice address
1330 VIVIAN ST, LONGMONT, CO 80501-3217
(303) 776-9122
(303) 774-9572
Mailing address
1330 VIVIAN ST, LONGMONT, CO 80501-3217
(303) 776-9122
(303) 774-9572
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
609
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164647715
INDIVIDUAL NPI
CO
05
—
90233573
—
CO
Enumeration date
07/17/2009
Last updated
06/16/2010
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