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General NPI Number Information
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NPI Number | 1518152503
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Entity Type | Organization
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Legal Business Name | LOVELAND FOOT & ANKLE CLINIC, PC
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 1440 N. BOISE AVE
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City | LOVELAND
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State | CO
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Zip | 80538-4214
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Country | US
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Telephone | 970-278-1440
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Fax | 970-203-0329
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Provider Business Mailing Address
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Address Line | 1440 N. BOISE AVE
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City | LOVELAND
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State | CO
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Zip | 80538-4214
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Country | US
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Telephone | 970-278-1440
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Fax | 970-203-0329
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. PETER DONALD SCHULTZ
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Credential | DPM
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Telephone | 970-278-1440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | 379
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License Number State | CO
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