# DENVER OSTEOPATHIC AND SPORTS MEDICINE CENTER A PROFESSIONAL LLC

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

## Provider details

- **NPI number:** 1477110823
- **Authorized official:** JOEL BRUCE COOPERMAN DO (OWNER)
- **Authorized official phone:** (303) 991-4651

## Contact information

- **Practice address:** 10555 E DARTMOUTH AVE STE 200, AURORA, CO 80014-2673
- **Practice address phone:** (303) 991-4651
- **Practice address fax:** (303) 991-3300
- **Mailing address:** 10555 E DARTMOUTH AVE STE 200, AURORA, CO 80014-2673
- **Mailing address phone:** (303) 991-4651
- **Mailing address fax:** (303) 991-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2019
- **Last updated:** 09/20/2019