Organization
STILWELL FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GREGORY STILWELL DPM (OWNER)
(970) 259-5303
Entity
Organization
Contact information
Practice address
575 RIVERGATE, SUITE 95, DURANGO, CO 81301-7487
(970) 259-5303
(970) 259-3510
Mailing address
575 RIVERGATE, SUITE 95, DURANGO, CO 81301-7487
(970) 259-5303
(970) 259-3510
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
380
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01003805
—
CO
Enumeration date
10/08/2008
Last updated
04/27/2010
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