Provider Demographics
NPI:1073126173
Name:DAVID ERIK OUDERKIRK DPM PC
Entity Type:Organization
Organization Name:DAVID ERIK OUDERKIRK DPM PC
Other - Org Name:COLORADO CLINICS FOR FOOT AND ANKLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ERIK
Authorized Official - Last Name:OUDERKIRK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:303-577-0110
Mailing Address - Street 1:2373 CENTRAL PARK BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2300
Mailing Address - Country:US
Mailing Address - Phone:303-577-0110
Mailing Address - Fax:303-577-0112
Practice Address - Street 1:9137 RIDGELINE BLVD STE 140
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2394
Practice Address - Country:US
Practice Address - Phone:303-577-0110
Practice Address - Fax:303-577-0112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty