Organization
HIGH ALTITUDE SPINE AND SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD THOMAS HANSEN III D.C. (PRESIDENT)
(303) 829-1040
Entity
Organization
Contact information
Practice address
2995 BASELINE RD, #101, BOULDER, CO 80303-2318
(303) 829-1040
(303) 440-0905
Mailing address
PO BOX 7195, BOULDER, CO 80306-7195
(303) 829-1040
(303) 440-0905
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
6322
CO
Other
Enumeration date
06/17/2010
Last updated
03/01/2011
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