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NPI Code Detail

MEDICARE: DR. JUSTIN KENNETH METLI DPM, MA

MEDICARE: DR. JUSTIN KENNETH METLI DPM, MA
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
1213ES0103XFoot & Ankle Surgery PodiatristPOD.0000971CO
2213ES0103XFoot & Ankle Surgery Podiatrist1179MN

General Provider Information

NPI Number : 1346822509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN KENNETH METLI DPM, MA
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10240 PARK MEADOWS DR
Second Line :
City : LONE TREE
State : CO
Zip : 80124-5425
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2021
Last Update Date : 12/12/2025

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