Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
Other names
Southwest Spine Services
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN PESHEK (ASSOCIATE ADMINISTRATOR OMA)
(303) 673-7164
Entity
Organization
Contact information
Practice address
314 SOUTH 6TH STREET, MONTROSE, CO 81401-5719
(970) 764-9265
(970) 764-9279
Mailing address
P.O. BOX 911057, DENVER, CO 80291-1057
(970) 764-9265
(970) 764-9279
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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