Healthcare Provider Details

I. General information

NPI: 1013298041
Provider Name (Legal Business Name): PINNACLE FOOT AND ANKLE CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2011
Last Update Date: 01/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 W 120TH AVE #113
WESTMINSTER CO
80234-2708
US

IV. Provider business mailing address

1333 W 120TH AVE #113
WESTMINSTER CO
80234-2708
US

V. Phone/Fax

Practice location:
  • Phone: 720-917-9022
  • Fax: 720-379-6759
Mailing address:
  • Phone: 720-917-9022
  • Fax: 720-379-6759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number677
License Number StateCO

VIII. Authorized Official

Name: DR. KATHERINE K. PARODI
Title or Position: OWNER
Credential: DPM
Phone: 720-917-9022