# ALPINE ORTHOPAEDICS & SPORTS MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALPINE ORTHOPAEDICS & SPORTS MEDICINE PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992308191
- **Legal business name:** ALPINE ORTHOPAEDICS & SPORTS MEDICINE PC
- **Authorized official:** DONNA LYNN SOWERS (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (970) 641-6788

## Contact information

- **Practice address:** 405 ELK AVE, CRESTED BUTTE, CO 81224
- **Practice address phone:** (970) 641-6788
- **Practice address fax:** (970) 349-1049
- **Mailing address:** 112 W SPENCER AVE STE A, GUNNISON, CO 81230-2546
- **Mailing address phone:** (970) 641-6788
- **Mailing address fax:** (970) 641-0282

## Taxonomy

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

## Other

- **Enumeration date:** 11/19/2020
- **Last updated:** 11/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 76232735 | — | CO |
