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NPI Code Detail

MEDICARE: CHEYENNE FOOT & ANKLE INC

MEDICARE: CHEYENNE FOOT & ANKLE INC
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
1213EP1101XPrimary Podiatric Medicine PodiatristCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1658823OTHERCOBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851371942
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHEYENNE FOOT & ANKLE INC
Provider Business Mailing Address
First Line : 2975 BROADMOOR VALLEY RD
Second Line : STE 104
City : COLORADO SPRINGS
State : CO
Zip : 80906-3981
Country : US
Telephone Number : 719-576-2080
Fax Number : 719-576-2248
Provider Business Practice Location Address
First Line : 2975 BROADMOOR VALLEY RD
Second Line : STE 104
City : COLORADO SPRINGS
State : CO
Zip : 80906-3981
Country : US
Telephone Number : 719-576-2080
Fax Number : 719-576-2248
Authorized Official
Title or Position : PRESIDENT
Name : DR. JENNIFER V YULL
Credential : D.P.M.
Telephone Number : 719-576-2080
Provider Enumeration Date : 01/17/2006
Last Update Date : 03/01/2011

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Directions to “CHEYENNE FOOT & ANKLE INC ” Practice Location

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