Organization
ROCKY MOUNTAIN SPINE & ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY LAKE (OFFICE MANAGER)
(970) 612-0476
Entity
Organization
Contact information
Practice address
4795 LARIMER PKWY, JOHNSTOWN, CO 80534-9021
(970) 624-6333
Mailing address
4795 LARIMER PKWY, JOHNSTOWN, CO 80534-9021
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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