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NPI Code Detail

MEDICARE: MR. WILLIAM DANIEL FARRETT JR. DPM

MEDICARE:  MR. WILLIAM DANIEL FARRETT JR. DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist497CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4480033567OTHERRRW MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11578799698OTHERCOGROUP NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33893610001OTHERPALMETTO
584153666402OTHERPACIFICARE
6FA617492OTHERBC BS

General Provider Information

NPI Number : 1063420438
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM DANIEL FARRETT JR. DPM
Provider Business Mailing Address
First Line : 8671 S QUEBEC ST STE 230
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80130-5861
Country : US
Telephone Number : 303-662-0545
Fax Number : 720-398-3395
Provider Business Practice Location Address
First Line : 8671 S QUEBEC ST STE 230
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80130-5861
Country : US
Telephone Number : 303-662-0545
Fax Number : 720-398-3395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 04/28/2021

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