NPI 1336839679
Jason Paul Mitcham, CPED
Practice location
- Address
- Colorado Springs Orthopaedic Group Dba Audubon Orthotic 4110 Briargate Parkway Suite 300, Colorado Springs, CO 80920-7837
- Phone
- (719) 632-7669
- Fax
- (719) 632-0088
- Mailing address
- 4110 Briargate Parkway Suite 300, Colorado Springs, CO 80920-7837
Registered specialties
Pedorthist
Primary
Registry record
- NPI
- 1336839679
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 May 2023
- Record last updated
- 10 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.