Organization
PANORAMA ORTHOPEDICS & SPINE CENTER, PC
Active
Parent organization
PANORAMA ORTHOPEDICS & SPINE CENTER, PC
Other names
Westminster
Organization subpart
Yes
Provider details
NPI number
Legal business name
PANORAMA ORTHOPEDICS & SPINE CENTER, PC
Authorized official
MARK J CONKLIN (PRESIDENT)
(303) 274-7321
Entity
Organization
Contact information
Practice address
8510 BRYANT ST STE 120, WESTMINSTER, CO 80031-3845
(303) 233-1223
(303) 233-8755
Mailing address
660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401-9541
(303) 233-1223
(303) 233-8755
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99603870
—
CO
01
—
CR5408
MEDICARE
CO
Enumeration date
04/22/2020
Last updated
04/20/2023
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