Foot And Ankle Specialists Of Colorado Pllc | |
604 S 9th St, Canon City, CO 81212-4910 | |
(719) 275-1037 | |
Not Available |
Full Name | Foot And Ankle Specialists Of Colorado Pllc |
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Type | Facility |
Speciality | Podiatrist |
Location | 604 S 9th St, Canon City, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215321856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213E00000X | Podiatrist | POD.0000747 (Colorado) | Primary |
Provider Name | Morgan Kizzar |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1912261074 PECOS PAC ID: 3870813330 Enrollment ID: I20150522002021 |
Provider Name | Krystal Marie Shotliff |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063138162 PECOS PAC ID: 2961876255 Enrollment ID: I20230328003108 |
Mailing Address | Practice Location Address |
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Foot And Ankle Specialists Of Colorado Pllc Po Box 576, Canon City, CO 81215-0576 Ph: (719) 275-1037 | Foot And Ankle Specialists Of Colorado Pllc 604 S 9th St, Canon City, CO 81212-4910 Ph: (719) 275-1037 |
Cheyenne Foot & Ankle Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1335 Phay Ave, Suite D, Canon City, CO 81212 Phone: 719-275-1037 Fax: 719-275-1305 | |
Morgan Johonn Kizzar, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 604 S 9th St, Canon City, CO 81212 Phone: 719-275-1037 Fax: 877-807-4835 |