| Organization Name: | TOTAL FOOT AND ANKLE CLINIC OF PARKER LLC |
| NPI Number: | 1043305410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES PETTET (OWNER) |
| Mailing Address: | 17733 Cottonwood Drive Parker |
| State: | CO US |
| Postal Code: | 80134 |
| Phone Number: | 3036176465 |
| Fax Number: | 3037987037 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 02/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |