Organization Name: | COLORADO PODIATRY CONSULTANTS PC |
NPI Number: | 1679903868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL ZYZDA (PRESIDENT) |
Mailing Address: | 26659 Pleasant Park Rd Conifer |
State: | CO US |
Postal Code: | 804337714 |
Phone Number: | 7208559214 |
Fax Number: | 7208559291 |
NPI Enumeration Date: | 11/25/2013 |
NPI Last Update Date: | 11/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |