MEDICARE: DAVID ERIK OUDERKIRK DPM PC

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
1	213E00000X	Podiatrist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DA3705	OTHER	CO	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497799241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID ERIK OUDERKIRK DPM PC

Provider Business Mailing Address
First Line	:	2373 CENTRAL PARK BLVD
Second Line	:	SUITE 201
City	:	DENVER
State	:	CO
Zip	:	80238-2300
Country	:	US
Telephone Number	:	303-577-0110
Fax Number	:	303-577-0112

Provider Business Practice Location Address
First Line	:	2373 CENTRAL PARK BLVD
Second Line	:	SUITE 201
City	:	DENVER
State	:	CO
Zip	:	80238-2300
Country	:	US
Telephone Number	:	303-577-0110
Fax Number	:	303-577-0112

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID ERIK OUDERKIRK
Credential	:	DPM
Telephone Number	:	303-577-0110

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	10/27/2023

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Directions to “DAVID ERIK OUDERKIRK DPM PC ” Practice Location

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