MEDICARE: DR. JACOB COLE STUART D.P.M

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	POD.0000785	CO

General Provider Information

NPI Number	:	1134560741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACOB COLE STUART D.P.M

Provider Business Mailing Address
First Line	:	12213 PECOS ST STE 400
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-3414
Country	:	US
Telephone Number	:	805-551-7685
Fax Number	:

Provider Business Practice Location Address
First Line	:	12213 PECOS ST STE 400
Second Line	:
City	:	WESTMINSTER
State	:	CO
Zip	:	80234-3414
Country	:	US
Telephone Number	:	720-917-9022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2013
Last Update Date	:	06/02/2026

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