Aaron Anderson, C. PED
Individual provider Active NPI Pedorthist · Longmont, CO
NPI 1679073597 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1679073597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pedorthist 224L00000X
- Practice address
- 105 S Sunset St Ste B
Longmont, CO 80501-6172 - Phone
- (303) 443-9999
- NPI assigned
- Feb 16, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | CO | Yes |
Addresses
Primary practice location
105 S Sunset St Ste B
Longmont, CO 80501-6172
Mailing address
105 S Sunset St Ste B
Longmont, CO 80501-6172
Phone (303) 443-9999
Other practice location 1
2805 Wilderness Pl Ste 400
Boulder, CO 80301-5452
Phone (303) 443-9999
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.