Individual
DR. SALLY A SERVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
820 CASTLE VALLEY BLVD, SUITE 210, NEW CASTLE, CO 81647-9480
(970) 928-9785
(970) 928-0423
Mailing address
820 CASTLE VALLEY BLVD, SUITE 210, NEW CASTLE, CO 81647-9480
(970) 928-9785
(970) 928-0423
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0459
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004597
—
CO
01
—
0459
STATE LIC
CO
Enumeration date
09/29/2006
Last updated
03/07/2023
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