Provider Demographics
NPI:1740610930
Name:COLORADO PODIATRY CONSULTANTS PC
Entity Type:Organization
Organization Name:COLORADO PODIATRY CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZYZDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-855-9214
Mailing Address - Street 1:2727 BRYANT ST STE 400
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4170
Mailing Address - Country:US
Mailing Address - Phone:720-855-9214
Mailing Address - Fax:720-855-9291
Practice Address - Street 1:1930 S FEDERAL BLVD
Practice Address - Street 2:SUITE#A
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-5501
Practice Address - Country:US
Practice Address - Phone:720-855-9214
Practice Address - Fax:720-855-9291
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLORADO PODIATRY CONSULTANTS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-25
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty