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Organization
ORTHOPEDIC PROFESSIONAL ASSOCIATION P.C.
Active
Organization
ORTHOPEDIC PROFESSIONAL ASSOCIATION P.C.
Active
Parent organization
ORTHOPEDIC PROFESSIONAL ASSOCIATION P.C.
Other names
Orthopedic Professional Association PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPEDIC PROFESSIONAL ASSOCIATION P.C.
Authorized official
JEFFREY R GAGLIANO (OWNER)
(303) 665-0286
Entity
Organization
Contact information
Practice address
1032 S 88TH ST, LOUISVILLE, CO 80027-9452
(303) 665-0286
Mailing address
4820 RIVERBEND RD STE 200, BOULDER, CO 80301-2618
(303) 665-0286
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04006649
—
CO
Enumeration date
06/10/2022
Last updated
06/10/2022
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