Organization · Type 2 NPI

Table Mountain Foot and Ankle Clinic PC

Foot & Ankle Surgery Podiatrist · Lakewood, CO

NPI number 1982076832 Active

Practice location

255 Union Blvd, Suite 310
Lakewood, CO 80228-1810

Mailing address

3555 Lutheran Pkwy, Suite 150
Wheat Ridge, CO 80033-6021

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000X547 (CO)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X544 (CO)
Foot & Ankle Surgery Podiatrist 213ES0103X324 (CO)

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

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About NPI 1982076832

Table Mountain Foot and Ankle Clinic PC's National Provider Identifier is 1982076832, issued on Oct 30, 2015. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Lakewood, CO. The record was last updated on Oct 30, 2015.