Organization
ROCKY MOUNTAIN LITHOTRIPTER LLC
Active
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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