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Organization
LUCKY BREAK ORTHOPEDICS PC
Active
Organization
LUCKY BREAK ORTHOPEDICS PC
Active
Other names
Pinnacle Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HENRY ELFENBEIN MD (PRESIDENT)
(970) 672-1980
Entity
Organization
Contact information
Practice address
103 W TOMICHI AVE STE B, GUNNISON, CO 81230-2323
(970) 672-1980
(970) 817-2112
Mailing address
PO BOX 1627, CRESTED BUTTE, CO 81224-1627
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
56343
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7693530001
MEDICARE NSC
—
05
—
DR.0056343
—
CO
Enumeration date
01/31/2018
Last updated
09/11/2025
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