Individual provider · Type 1 NPI
Jason Paul Mitcham, C.PED
Pedorthist · Colorado Springs, CO
NPI number
1336839679
Active
Practice location
Colorado Springs Orthopaedic Group Dba Audubon Orthotic, 4110 Briargate Parkway Suite 300
Colorado Springs, CO 80920-7837
Fax (719) 632-0088
Mailing address
4110 Briargate Parkway, Suite 300
Colorado Springs, CO 80920-7837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pedorthist Primary | 224L00000X | None listed |
Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
About NPI 1336839679
Jason Paul Mitcham, C.PED's National Provider Identifier is 1336839679, issued on May 10, 2023. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Colorado Springs, CO. The record was last updated on May 10, 2023.