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Dr. Nicole Megan Roth, DPM
Podiatrist in Boulder, Colorado
NPI 1770879413

Nicole Megan Roth is a Podiatrist based in Boulder, CO. Nicole Megan Roth practices in Boulder, CO and has the professional credentials of DPM. The NPI Number for Nicole Megan Roth is 1770879413 and holds a License No. POD.0000829 (Colorado).

The current practice location address for Nicole Megan Roth is 1400 28Th St Ste 2, Boulder, CO and can be reached out via phone at 303-449-2000 and via fax at 303-449-9475.

Location: 1400 28Th St Ste 2, Boulder, CO, 80308-4150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770879413
Provider Name
Nicole Megan Roth
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
1400 28Th St Ste 2, Boulder, CO, 80308-4150
Phone Number
303-449-2000
Fax Number
303-449-9475
Provider Enumeration Date
06/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PR235 01 FL PODIATRIC RESIDENT
9000168464 05 CO
PO 3661 01 FL PODIATRIC MEDICAL LICENSE
POD.0000829 01 CO LICENSE
institution
Provider Business Practice Location Address Details
Address
1400 28Th St Ste 2
City
Boulder
State
Colorado
Zip
80303-1096
Phone Number
303-449-2000
Fax Number
303-449-9475
person
Provider Business Mailing Address Details
Address
1400 28Th St Ste 2
City
Boulder
State
Colorado
Zip
80303-1096
Phone Number
303-449-2000
Fax Number
303-449-9475
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
POD.0000829 (Colorado)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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