Healthcare Provider Details

I. General information

NPI: 1245921121
Provider Name (Legal Business Name): LEAP FOOT AND ANKLE SPECIALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 05/19/2023
Certification Date: 05/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9255 W ALAMEDA AVE STE F
LAKEWOOD CO
80226-2802
US

IV. Provider business mailing address

9255 W ALAMEDA AVE STE F
LAKEWOOD CO
80226-2802
US

V. Phone/Fax

Practice location:
  • Phone: 315-380-3530
  • Fax:
Mailing address:
  • Phone: 315-380-3530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. MELISSA HURWITZ
Title or Position: PHYSICIAN/ OWNER
Credential: DPM
Phone: 315-380-3530