| Organization Name: | CHEYENNE FOOT & ANKLE INC |
| NPI Number: | 1003083841 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER V YULL (PHYSICIAN OWNER) |
| Mailing Address: | 1335 Phay Ave Suite D Canon City |
| State: | CO US |
| Postal Code: | 812122334 |
| Phone Number: | 7192751037 |
| Fax Number: | 7192751305 |
| NPI Enumeration Date: | 05/12/2008 |
| NPI Last Update Date: | 10/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 642 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |