Organization
COLORADO SPINE INSTITUTE PROFESSIONAL LLC
Active
Parent organization
COLORADO SPINE INSTITUTE PROFESSIONAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO SPINE INSTITUTE PROFESSIONAL LLC
Authorized official
DEE GOODMAN (ADMINISTRATOR)
(970) 222-9745
Entity
Organization
Contact information
Practice address
4795 LARIMER PKWY, JOHNSTOWN, CO 80534-9021
(970) 342-2220
(970) 342-2220
Mailing address
4795 LARIMER PKWY, JOHNSTOWN, CO 80534-9021
(970) 342-2220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/29/2023
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