# ROCKY MOUNTAIN TRAUMA SERVICES PROFF LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023117850
- **Authorized official:** MR. TROY STOCKMAN CEO (CEO)
- **Authorized official phone:** (303) 671-2116

## Contact information

- **Practice address:** 13918 E MISSISSIPPI AVE, SUITE 473, AURORA, CO 80012
- **Practice address phone:** (303) 671-2116
- **Practice address fax:** (303) 369-7776
- **Mailing address:** 13918 E MISSISSIPPI AVE, \#473, AURORA, CO 80012
- **Mailing address phone:** (303) 912-9915
- **Mailing address fax:** (720) 748-6900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 93731759 | — | CO |