Organization
ROCKY MOUNTAIN LITHOTRIPTER LLC
Active
Other names
THE KIDNEY STONE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY JACOBS (CEO)
(303) 839-6060
Entity
Organization
Contact information
Practice address
3535 S LAFAYETTE ST STE 220, ENGLEWOOD, CO 80113-3972
(303) 839-6060
(303) 839-6377
Mailing address
PO BOX 17003, DENVER, CO 80217-0003
(303) 839-6060
(303) 239-0560
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04004412
—
CO
Enumeration date
10/23/2006
Last updated
04/18/2023
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