| Organization Name: | CASTLE ROCK FOOT & ANKLE CARE PC |
| NPI Number: | 1104123249 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA HERZOG (PHYSICIAN) |
| Mailing Address: | 755 S Perry St Suite 500 Castle Rock |
| State: | CO US |
| Postal Code: | 801041901 |
| Phone Number: | 3038141082 |
| Fax Number: | 3038140080 |
| NPI Enumeration Date: | 02/25/2011 |
| NPI Last Update Date: | 06/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 686 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |