Elite Foot & Ankle Clinic

NPI #1720428626 in Thornton, Colorado

Provider Information

NPI Number: 1720428626
Entity Type: Organization
Organization Name: Elite Foot & Ankle Clinic
Primary Specialty: Podiatrist - Primary Podiatric Medicine
Enumeration Date: Jun 25, 2013
Last Updated: Nov 21, 2013

Practice Location

Address: 3655 E 104TH AVE
Address 2: SUITE B
City: Thornton
State: Colorado
ZIP Code: 80233-4469
Phone: (720) 328-2022

Authorized Official

Name: STACI BOGIN, DPM
Title: PODIATRIST/OWNER
Phone: (323) 481-7597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Primary Podiatric Medicine — Primary Podiatric Medicine	213EP1101X	Primary

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DR. Kevin Matthew Derickson, D.P.M.	Podiatrist - Primary Podiatric Medicine	Denver	AI Deep Dive
DR. Jennifer V Yull, D.P.M.	Podiatrist - Primary Podiatric Medicine	Colorado Springs	AI Deep Dive
DR. Tim Carlsen, D.P.M.	Podiatrist - Primary Podiatric Medicine	Colorado Springs	AI Deep Dive
DR. Edward K Raczka	Podiatrist - Primary Podiatric Medicine	Denver	AI Deep Dive

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Cheyenne Foot & Ankle INC	Podiatrist - Primary Podiatric Medicine	Colorado Springs	AI Deep Dive

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