Healthcare Provider Details
I. General information
NPI: 1639347784
Provider Name (Legal Business Name): METROPOLITAN FOOT AND ANKLE SPECIALIST
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2008
Last Update Date: 02/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1421 S POTOMAC ST SUITE 120
AURORA CO
80012-4535
US
IV. Provider business mailing address
1421 S POTOMAC ST SUITE 120
AURORA CO
80012-4535
US
V. Phone/Fax
- Phone: 303-923-3369
- Fax: 303-923-3369
- Phone: 303-923-3369
- Fax: 303-923-3369
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
THOMAS
J
SAVAGE
Title or Position: OWNER
Credential: PO
Phone: 303-923-3369