Organization
BOULDER VALLEY FOOT & ANKLE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA J COURTEMANCHE (MANAGER)
(303) 443-8900
Entity
Organization
Contact information
Practice address
4735 WALNUT ST STE C, BOULDER, CO 80301-2553
(303) 443-8900
(303) 442-3140
Mailing address
4735 WALNUT ST STE C, BOULDER, CO 80301-2553
(303) 443-8900
(303) 442-3140
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
478
CO
213ES0131X
Foot Surgery Podiatrist
—
CO
Other
Enumeration date
09/04/2007
Last updated
01/12/2021
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