Healthcare Provider Details

I. General information

NPI: 1770686370
Provider Name (Legal Business Name): ALLIED FOOT AND ANKLE CLINICS OF CO, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 S BROADWAY #540
LITTLETON CO
80122
US

IV. Provider business mailing address

7720 S BROADWAY #540
LITTLETON CO
80122
US

V. Phone/Fax

Practice location:
  • Phone: 303-202-5146
  • Fax:
Mailing address:
  • Phone: 303-202-5146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: MS. SHARON L STUMP
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 303-202-5146