FRONT RANGE FOOT AND ANKLE CLINIC LLC; NPI #1912283045

Contact Information

FRONT RANGE FOOT AND ANKLE CLINIC LLC

10259 SOUTH PARKER RD
SUITE 200A
PARKER, CO 80134

Phone: 720-670-0544
Fax: 720-253-0794
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for FRONT RANGE FOOT AND ANKLE CLINIC LLC

NPI # 1912283045

LBN Legal business name FRONT RANGE FOOT AND ANKLE CLINIC LLC

Authorized official DANIEL MALLETT - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/03/2011

Last updated 06/09/2014 - About 12 years ago

Identifiers

CO	License #	650
CO	Other	6910950001	DMERC PTAN

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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FRONT RANGE FOOT AND ANKLE CLINIC LLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for FRONT RANGE FOOT AND ANKLE CLINIC LLC

Reviews for FRONT RANGE FOOT AND ANKLE CLINIC LLC