Organization
INTEGRATED SPORTS & SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B TRACY M.D. (PRESIDENT)
(303) 926-7360
Entity
Organization
Contact information
Practice address
380 EMPIRE RD STE 120, LAFAYETTE, CO 80026-2677
(303) 926-7360
(303) 926-7359
Mailing address
380 EMPIRE RD STE 200, LAFAYETTE, CO 80026-2677
(303) 926-7360
(303) 926-7359
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/24/2011
Last updated
01/19/2012
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