# PANORAMA ORTHOPEDICS & SPINE CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PANORAMA ORTHOPEDICS & SPINE CENTER, PC
- **Other names:** Westminster
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154941920
- **Legal business name:** PANORAMA ORTHOPEDICS & SPINE CENTER, PC
- **Authorized official:** MARK J CONKLIN (PRESIDENT)
- **Authorized official phone:** (303) 274-7321

## Contact information

- **Practice address:** 8510 BRYANT ST STE 120, WESTMINSTER, CO 80031-3845
- **Practice address phone:** (303) 233-1223
- **Practice address fax:** (303) 233-8755
- **Mailing address:** 660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401-9541
- **Mailing address phone:** (303) 233-1223
- **Mailing address fax:** (303) 233-8755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 04/22/2020
- **Last updated:** 04/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 99603870 | — | CO |
| 01 | — | CR5408 | MEDICARE | CO |