Doctor Name: | MR. WILLIAM DANIEL FARRETT |
NPI Number: | 1063420438 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 497 |
Business Practice Address: | 9695 South Yosemite Street Suite 373 Lone Tree, CO - 80124 |
Business Phone Number: | 3036620545 |
Business Fax Number: | 7203983395 |
Mailing Address: | 9695 South Yosemite Street, Suite 373 LONE TREE |
State: | CO |
Postal Code: | 80124 |
Phone Number: | 3036620545 |
Fax Number: | 7203983395 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 01/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 497 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |