Organization
C. KEITH FUJISAKI MD, PC
Active
Other names
Sports Medicine of the Rockies
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES KEITH FUJISAKI M.D. (PRESIDENT)
(303) 403-7340
Entity
Organization
Contact information
Practice address
3455 LUTHERAN PKWY, SUITE 210, WHEAT RIDGE, CO 80033-6017
(303) 403-7340
(303) 403-7347
Mailing address
3455 LUTHERAN PKWY, SUITE 210, WHEAT RIDGE, CO 80033-6017
(303) 403-7340
(303) 403-7347
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29370
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104267500
FEDERAL WORKMAN'T COMP
CO
05
—
20872771
—
CO
01
—
4213838
AETNA
CO
01
—
FUA29319
BLUE CROSS BLUE SHIELD
CO
01
—
P00049979
RAIL ROAD MEDICARE
CO
Enumeration date
02/22/2006
Last updated
10/26/2009
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