Organization Name: | FOOT AND ANKLE INSTITUTE OF COLORADO, PC |
NPI Number: | 1003294083 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW DIEHL HINDERLAND (PODIATRIST) |
Mailing Address: | 6475 Wall St Suite 100 Colorado Springs |
State: | CO US |
Postal Code: | 809188337 |
Phone Number: | 7194884664 |
Fax Number: | 7194884667 |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 06/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 707 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |