Organization
CATHOLIC HEALTH INITIATIVES COLORADO
Active
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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