# STEADMAN CLINIC PROFESSIONAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Steadman Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194493619
- **Authorized official:** TAMARA K CHARTIER (REVENUE CYCLE DIRECTOR)
- **Authorized official phone:** (970) 445-8327

## Contact information

- **Practice address:** 200 ROBINSON STREET, STE C300, BASALT, CO 81621
- **Practice address phone:** (970) 476-1100
- **Mailing address:** 181 W MEADOW DR STE 400, VAIL, CO 81657-5058
- **Mailing address phone:** (970) 476-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | NULL | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |

## Other

- **Enumeration date:** 08/31/2021
- **Last updated:** 08/31/2021