Organization
QUORUM ORTHOPEDICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBER BREKKE (ADMINISTRATOR)
(307) 778-6595
Entity
Organization
Contact information
Practice address
2110 EVANS AVE, CHEYENNE, WY 82001-3734
(307) 778-6595
(307) 778-6191
Mailing address
2110 EVANS AVE, CHEYENNE, WY 82001-3734
(307) 778-6595
(307) 778-6191
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP003160
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117954300
—
WY
05
—
97021032
—
CO
Enumeration date
02/12/2007
Last updated
02/05/2020
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