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Contact Information

FOUR CORNERS FOOT AND ANKLE P.C.
1266 ESCALANTE DR
SUITE 201
DURANGO, CO81301-7490
 Phone: 970-259-5303
 Fax: 970-259-3510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOUR CORNERS FOOT AND ANKLE P.C.

NPI # 1629416342
LBN Legal business name FOUR CORNERS FOOT AND ANKLE P.C.
Authorized official KAYSE LAKE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2013
Last updated 02/19/2026 - About 3 months ago
Identifiers
CO License # POD710
CO Medicaid 51073277
CO Medicaid 80527850
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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