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Organization

FOOT & ANKLE CENTER OF NORTHERN COLORADO, P.C.

Active
Parent organization
FOOT & ANKLE CENTER OF NORTHERN COLORADO, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
FOOT & ANKLE CENTER OF NORTHERN COLORADO, P.C.
Authorized official
DR. DANIEL J HATCH D.P.M. (D.P.M./PRESIDENT)
(970) 351-0900
Entity
Organization

Contact information

Practice address
1305 SUMNER STREET, SUITE 200, LONGMONT, CO 80501-3270
(303) 772-3232
(303) 772-2360
Mailing address
1305 SUMNER STREET, SUITE 200, LONGMONT, CO 80501-3270
(303) 772-3232
(303) 772-2360

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04008942
CO
01
0483700001
DME
CO
Enumeration date
08/28/2012
Last updated
08/28/2012
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