# STEAMBOAT ORTHOPAEDIC AND SPINE INSTITUTE MONUMENT LLC

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

## Provider details

- **NPI number:** 1831800374
- **Authorized official:** EMMA RUSH (ADMINISTRATOR)
- **Authorized official phone:** (970) 439-0800

## Contact information

- **Practice address:** 17230 JACKSON CREEK PKWY STE 260, MONUMENT, CO 80132-7305
- **Practice address phone:** (719) 301-3010
- **Practice address fax:** (970) 871-1234
- **Mailing address:** 705 MARKETPLACE PLZ STE 200, STEAMBOAT SPRINGS, CO 80487-1841
- **Mailing address phone:** (970) 879-6663
- **Mailing address fax:** (970) 871-1234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |

## Other

- **Enumeration date:** 12/06/2022
- **Last updated:** 04/01/2024