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Organization
ROCKY MOUNTAIN SPINE AND SPORT, LLC
Active
Organization
ROCKY MOUNTAIN SPINE AND SPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE J MUSICK (OPERATIONS MANAGER)
(303) 792-7377
Entity
Organization
Contact information
Practice address
9218 KIMMER DR, SUITE 100, LONE TREE, CO 80124-6732
(303) 792-7377
(303) 792-9077
Mailing address
9218 KIMMER DR, SUITE 100, LONE TREE, CO 80124-6732
(303) 792-7377
(303) 792-9077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7115
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
662341
BLUE CROSS BLUE SHIELD
CO
Enumeration date
10/13/2006
Last updated
01/10/2008
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