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Organization

TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC

Active
Parent organization
TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TABLE MOUNTAIN FOOT AND ANKLE CLINIC PC
Authorized official
ANTHONY VALENTI III DPM (PRESIDENT)
(303) 422-6043
Entity
Organization

Contact information

Practice address
255 UNION BLVD, SUITE 310, LAKEWOOD, CO 80228-1810
(303) 985-1212
Mailing address
3555 LUTHERAN PKWY, SUITE 150, WHEAT RIDGE, CO 80033-6021

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
547
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
324
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
544
CO

Other

Enumeration date
10/30/2015
Last updated
10/30/2015
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