Healthcare Provider Details

I. General information

NPI: 1982741732
Provider Name (Legal Business Name): JAMES C DILL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 03/13/2020
Certification Date: 03/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 S BROADWAY STE 500
LITTLETON CO
80122-2635
US

IV. Provider business mailing address

PO BOX 271168
LITTLETON CO
80127-0020
US

V. Phone/Fax

Practice location:
  • Phone: 303-973-3668
  • Fax: 303-347-9339
Mailing address:
  • Phone: 303-973-3668
  • Fax: 303-347-9339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number351
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES C DILL
Title or Position: OWNER
Credential: D.P.M.
Phone: 303-973-3668