Organization · Type 2 NPI

Pro Active Podiatry PC

Foot & Ankle Surgery Podiatrist · Englewood, CO

NPI number 1285039016 Active

Practice location

3535 S Lafayette St, Suite 110
Englewood, CO 80113-3957

Fax (720) 310-2162

Mailing address

1476 S Josephine St
Denver, CO 80210-2428

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1285039016

Pro Active Podiatry PC's National Provider Identifier is 1285039016, issued on Oct 22, 2014. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Englewood, CO. The record was last updated on Jun 4, 2015.