Healthcare Provider Details

I. General information

NPI: 1518198696
Provider Name (Legal Business Name): ANIMAS FOOT AND ANKLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 01/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

975 RIVERGATE UNIT 105
DURANGO CO
81301-7490
US

IV. Provider business mailing address

975 RIVERGATE UNIT 105
DURANGO CO
81301-7490
US

V. Phone/Fax

Practice location:
  • Phone: 970-259-3154
  • Fax: 970-259-9766
Mailing address:
  • Phone: 970-259-3154
  • Fax: 970-259-9766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number690
License Number StateCO

VIII. Authorized Official

Name: DR. BEN STUART WEHRLI
Title or Position: PRESIDENT/PODIATRIST
Credential: DPM
Phone: 970-259-3154