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Organization

CHEYENNE FOOT & ANKLE INC

Active
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Organization

CHEYENNE FOOT & ANKLE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER V YULL D.P.M. (PRESIDENT)
(719) 576-2080
Entity
Organization

Contact information

Practice address
2975 BROADMOOR VALLEY RD, STE 104, COLORADO SPRINGS, CO 80906-3981
(719) 576-2080
(719) 576-2248
Mailing address
2975 BROADMOOR VALLEY RD, STE 104, COLORADO SPRINGS, CO 80906-3981
(719) 576-2080
(719) 576-2248

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52984834
CO
01
658823
BCBS
CO
Enumeration date
01/17/2006
Last updated
03/01/2011
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