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Organization
STEADMAN CLINIC PROFESSIONAL LLC
Active
Organization
STEADMAN CLINIC PROFESSIONAL LLC
Active
Other names
The Steadman Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN G SEVCIK (CONTROLLER)
(970) 479-5877
Entity
Organization
Contact information
Practice address
401 CASTLE CREEK RD STE 2100, ASPEN, CO 81611-1159
(970) 476-1100
Mailing address
181 W MEADOW DR STE 400, VAIL, CO 81657-5058
(970) 476-1100
(970) 479-5835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
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
10/29/2020
Last updated
10/29/2020
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